Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.40 / $38.40 / $51.85	Facility	26	$38.40	$38.40	$51.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $98.56 / $139.66	Professional		$68.34	$98.56	$139.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.16 / $26.92 / $40.33	Professional	26	$19.16	$26.92	$40.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.09 / $71.89 / $99.32	Professional	TC	$50.09	$71.89	$99.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $108.06 / $108.06	Professional		$78.70	$108.06	$108.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $33.94 / $51.24	Professional	26	$20.89	$33.94	$51.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.61 / $95.35 / $112.51	Professional		$69.61	$95.35	$112.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.11 / $27.55 / $32.51	Professional	26	$20.11	$27.55	$32.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.49 / $67.79 / $79.98	Professional	TC	$49.49	$67.79	$79.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $114.00 / $177.43	Professional		$75.15	$114.00	$177.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.73 / $36.38 / $55.33	Professional	26	$22.73	$36.38	$55.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.08 / $87.82 / $126.04	Professional	TC	$58.08	$87.82	$126.04
United Facility/Professional Professional Modifier Low / Median / High Price $78.72 / $99.64 / $143.63	Professional		$78.72	$99.64	$143.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $29.02 / $40.77	Professional	26	$22.74	$29.02	$40.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.57 / $70.52 / $103.46	Professional	TC	$55.57	$70.52	$103.46