Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $48.98 / $104.71	Facility	26	$33.11	$48.98	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $407.38	Professional		$104.71	$177.83	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $64.57 / $97.72	Professional	26	$32.36	$64.57	$97.72
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.78 / $40.74 / $134.90	Professional	52	$17.78	$40.74	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $102.33 / $213.80	Professional	TC	$77.62	$102.33	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $123.03	Professional		$89.13	$100.00	$123.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $39.81 / $50.12	Professional	26	$26.30	$39.81	$50.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $91.20 / $123.03	Professional	TC	$89.13	$91.20	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $181.97	Professional		$100.00	$144.54	$181.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $41.69 / $53.70	Professional	26	$28.84	$41.69	$53.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $102.33 / $128.82	Professional	TC	$70.79	$102.33	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $295.12	Professional		$91.20	$151.36	$295.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $46.77 / $91.20	Professional	26	$33.88	$46.77	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $114.82 / $223.87	Professional	TC	$87.10	$114.82	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $204.17	Professional		$104.71	$138.04	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $38.90 / $56.23	Professional	26	$29.51	$38.90	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $97.72 / $134.90	Professional	TC	$74.13	$97.72	$134.90