Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.00 / $60.00 / $74.25	Facility	26	$45.00	$60.00	$74.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.14 / $600.00 / $709.48	Professional		$190.14	$600.00	$709.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.78 / $120.00 / $257.12	Professional	26	$62.78	$120.00	$257.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $115.89 / $452.37 / $480.00	Professional	TC	$115.89	$452.37	$480.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.21 / $87.21 / $87.21	Professional		$87.21	$87.21	$87.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.22 / $49.68 / $69.56	Professional	26	$35.22	$49.68	$69.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.86 / $170.12 / $220.29	Professional		$157.86	$170.12	$220.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.24 / $61.81 / $79.51	Professional	26	$52.24	$61.81	$79.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $105.62 / $121.75 / $141.02	Professional	TC	$105.62	$121.75	$141.02
United Facility/Professional Professional Modifier Low / Median / High Price $90.96 / $139.91 / $250.12	Professional		$90.96	$139.91	$250.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.34 / $46.19 / $78.63	Professional	26	$32.34	$46.19	$78.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.39 / $87.39 / $164.07	Professional	TC	$56.39	$87.39	$164.07