Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.71 / $35.71 / $35.71	Facility	26	$35.71	$35.71	$35.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.54 / $92.43 / $126.58	Professional		$72.54	$92.43	$126.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.81 / $25.02 / $35.71	Professional	26	$20.81	$25.02	$35.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.73 / $69.26 / $90.87	Professional	TC	$51.73	$69.26	$90.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.55 / $68.27 / $178.33	Professional		$64.55	$68.27	$178.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.05 / $30.49 / $47.05	Professional	26	$24.05	$30.49	$47.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.12 / $144.00 / $169.92	Professional		$105.12	$144.00	$169.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.39 / $43.00 / $50.74	Professional	26	$31.39	$43.00	$50.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.73 / $101.00 / $119.18	Professional	TC	$73.73	$101.00	$119.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.88 / $29.88 / $30.14	Facility	26	$29.88	$29.88	$30.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $102.83 / $238.06	Professional		$72.95	$102.83	$238.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.09 / $34.11 / $68.00	Professional	26	$21.09	$34.11	$68.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.97 / $78.83 / $173.25	Professional	TC	$51.97	$78.83	$173.25
United Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $88.24 / $123.09	Professional		$70.61	$88.24	$123.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.04 / $27.35 / $38.19	Professional	26	$21.04	$27.35	$38.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.16 / $64.80 / $88.80	Professional	TC	$48.16	$64.80	$88.80