Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.10 / $41.15 / $55.56	Facility	26	$34.10	$41.15	$55.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.04 / $112.34 / $136.01	Professional		$67.04	$112.34	$136.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.72 / $29.47 / $43.21	Professional	26	$20.72	$29.47	$43.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.79 / $84.53 / $92.79	Professional	TC	$46.79	$84.53	$92.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $73.34 / $105.17	Professional		$65.45	$73.34	$105.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.18 / $27.79 / $37.04	Professional	26	$22.18	$27.79	$37.04
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $54.42 / $54.42 / $54.42	Professional	TC	$54.42	$54.42	$54.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $175.04 / $206.55	Professional		$119.00	$175.04	$206.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.60 / $68.00 / $80.23	Professional	26	$47.60	$68.00	$80.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.37 / $102.00 / $120.36	Professional	TC	$74.37	$102.00	$120.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.65 / $35.65 / $35.65	Facility	26	$35.65	$35.65	$35.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $96.94 / $214.04	Professional		$69.30	$96.94	$214.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.15 / $36.95 / $88.68	Professional	26	$24.15	$36.95	$88.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.95 / $63.33 / $144.30	Professional	TC	$35.95	$63.33	$144.30
United Facility/Professional Professional Modifier Low / Median / High Price $74.78 / $96.31 / $139.59	Professional		$74.78	$96.31	$139.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.71 / $30.41 / $42.59	Professional	26	$23.71	$30.41	$42.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.00 / $66.03 / $101.52	Professional	TC	$49.00	$66.03	$101.52