Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.91 / $61.91 / $61.91	Facility	26	$61.91	$61.91	$61.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.84 / $833.42 / $833.42	Professional		$193.84	$833.42	$833.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.18 / $171.46 / $171.46	Professional	26	$38.18	$171.46	$171.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $155.66 / $661.97 / $661.97	Professional	TC	$155.66	$661.97	$661.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.01 / $92.60 / $137.47	Professional		$83.01	$92.60	$137.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.15 / $35.54 / $54.92	Professional	26	$33.15	$35.54	$54.92
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $52.96 / $52.96 / $57.53	Professional	TC	$52.96	$52.96	$57.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $118.25 / $253.70	Professional		$78.48	$118.25	$253.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.08 / $96.00 / $113.28	Professional	26	$70.08	$96.00	$113.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.44 / $65.45 / $140.41	Professional	TC	$43.44	$65.45	$140.41
United Facility/Professional Professional Modifier Low / Median / High Price $93.38 / $124.51 / $211.67	Professional		$93.38	$124.51	$211.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.22 / $44.28 / $61.50	Professional	26	$33.22	$44.28	$61.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.17 / $78.31 / $173.50	Professional	TC	$57.17	$78.31	$173.50