Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.79 / $63.79 / $86.12	Facility	26	$63.79	$63.79	$86.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $168.63 / $212.49	Professional		$131.44	$168.63	$212.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.85 / $51.61 / $73.37	Professional	26	$40.85	$51.61	$73.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.59 / $117.01 / $145.50	Professional	TC	$90.59	$117.01	$145.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.17 / $116.61 / $181.78	Professional		$103.17	$116.61	$181.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.57 / $48.45 / $57.25	Professional	26	$34.57	$48.45	$57.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $158.03 / $186.48	Professional		$115.36	$158.03	$186.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.95 / $49.24 / $58.10	Professional	26	$35.95	$49.24	$58.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.42 / $108.79 / $128.37	Professional	TC	$79.42	$108.79	$128.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $177.67 / $301.81	Professional		$109.75	$177.67	$301.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.94 / $61.23 / $94.49	Professional	26	$37.94	$61.23	$94.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.98 / $135.97 / $231.18	Professional	TC	$84.98	$135.97	$231.18
United Facility/Professional Professional Modifier Low / Median / High Price $128.84 / $156.97 / $225.95	Professional		$128.84	$156.97	$225.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.46 / $51.25 / $65.37	Professional	26	$39.46	$51.25	$65.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.40 / $116.26 / $160.16	Professional	TC	$90.40	$116.26	$160.16