Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.44 / $24.44 / $33.00	Facility	26	$24.44	$24.44	$33.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.65 / $103.93 / $136.33	Professional		$81.65	$103.93	$136.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.04 / $19.43 / $25.67	Professional	26	$15.04	$19.43	$25.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.51 / $87.32 / $110.65	Professional	TC	$66.51	$87.32	$110.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.04 / $68.04 / $72.06	Professional		$68.04	$68.04	$72.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.13 / $19.91 / $24.62	Professional	26	$13.13	$19.91	$24.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $103.54 / $122.18	Professional		$75.58	$103.54	$122.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.71 / $27.00 / $31.86	Professional	26	$19.71	$27.00	$31.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.87 / $76.54 / $90.32	Professional	TC	$55.87	$76.54	$90.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.92 / $20.92 / $21.10	Facility	26	$20.92	$20.92	$21.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $93.66 / $218.66	Professional		$67.81	$93.66	$218.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.16 / $23.61 / $43.35	Professional	26	$14.16	$23.61	$43.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.35 / $74.56 / $163.51	Professional	TC	$52.35	$74.56	$163.51
United Facility/Professional Professional Modifier Low / Median / High Price $67.97 / $92.91 / $133.07	Professional		$67.97	$92.91	$133.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.35 / $18.17 / $26.67	Professional	26	$14.35	$18.17	$26.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.14 / $71.34 / $97.83	Professional	TC	$51.14	$71.34	$97.83