Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.42 / $44.32 / $59.84	Facility	26	$36.42	$44.32	$59.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $113.03 / $142.83	Professional		$80.88	$113.03	$142.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $32.72 / $46.54	Professional	26	$25.70	$32.72	$46.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.17 / $83.28 / $96.28	Professional	TC	$55.17	$83.28	$96.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $95.25 / $154.21	Professional		$72.56	$95.25	$154.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.92 / $29.95 / $46.51	Professional	26	$23.92	$29.95	$46.51
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $51.69 / $80.78 / $117.11	Professional	TC	$51.69	$80.78	$117.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.37 / $153.93 / $181.64	Professional		$112.37	$153.93	$181.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.75 / $50.34 / $59.40	Professional	26	$36.75	$50.34	$59.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.62 / $103.59 / $122.24	Professional	TC	$75.62	$103.59	$122.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.08 / $38.08 / $38.08	Facility	26	$38.08	$38.08	$38.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $125.23 / $298.38	Professional		$81.31	$125.23	$298.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.07 / $39.65 / $95.50	Professional	26	$26.07	$39.65	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.78 / $85.43 / $204.44	Professional	TC	$54.78	$85.43	$204.44
United Facility/Professional Professional Modifier Low / Median / High Price $81.66 / $101.64 / $144.47	Professional		$81.66	$101.64	$144.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.26 / $33.26 / $45.52	Professional	26	$26.26	$33.26	$45.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.55 / $68.86 / $100.57	Professional	TC	$53.55	$68.86	$100.57