Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $44.67 / $44.67	Facility	26	$30.90	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $269.15	Professional		$87.10	$151.36	$269.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $51.29 / $87.10	Professional	26	$25.70	$51.29	$87.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $85.11 / $165.96	Professional	TC	$57.54	$85.11	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $162.18	Professional		$70.79	$89.13	$162.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $34.67 / $53.70	Professional	26	$24.55	$34.67	$53.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $60.26 / $194.98	Professional	TC	$41.69	$60.26	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $154.88 / $181.97	Professional		$83.18	$154.88	$181.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $50.12 / $58.88	Professional	26	$27.54	$50.12	$58.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $104.71 / $123.03	Professional	TC	$56.23	$104.71	$123.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $38.02 / $38.02	Facility	26	$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $263.03	Professional		$81.28	$128.82	$263.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $40.74 / $89.13	Professional	26	$26.30	$40.74	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $87.10 / $194.98	Professional	TC	$54.95	$87.10	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $158.49	Professional		$81.28	$102.33	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $33.11 / $46.77	Professional	26	$26.30	$33.11	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $69.18 / $102.33	Professional	TC	$51.29	$69.18	$102.33