Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $24.55 / $24.55	Facility	26	$16.60	$24.55	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $194.98	Professional		$64.57	$104.71	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $23.99 / $50.12	Professional	26	$14.13	$23.99	$50.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $87.10 / $144.54	Professional	TC	$52.48	$87.10	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $112.20	Professional		$70.79	$74.13	$112.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $19.95 / $27.54	Professional	26	$13.80	$19.95	$27.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $131.83	Professional		$72.44	$104.71	$131.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.92 / $31.62	Professional	26	$19.05	$26.92	$31.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $75.86 / $97.72	Professional	TC	$53.70	$75.86	$97.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $20.89 / $20.89	Facility	26	$20.89	$20.89	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $223.87	Professional		$67.61	$95.50	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $23.44 / $45.71	Professional	26	$15.14	$23.44	$45.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $89.13 / $190.55	Professional	TC	$52.48	$89.13	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $131.83	Professional		$61.66	$93.33	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $18.20 / $26.92	Professional	26	$13.80	$18.20	$26.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $70.79 / $104.71	Professional	TC	$48.98	$70.79	$104.71