Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $35.48 / $35.48	Facility	26	$28.84	$35.48	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $199.53	Professional		$67.61	$102.33	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $36.31 / $91.20	Professional	26	$21.88	$36.31	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $75.86 / $141.25	Professional	TC	$47.86	$75.86	$141.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $30.20 / $31.62	Professional	26	$23.44	$30.20	$31.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $186.21	Professional		$100.00	$144.54	$186.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $42.66 / $54.95	Professional	26	$30.20	$42.66	$54.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $100.00 / $128.82	Professional	TC	$70.79	$100.00	$128.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $30.20 / $30.20	Facility	26	$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $208.93	Professional		$70.79	$107.15	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $33.88 / $69.18	Professional	26	$23.99	$33.88	$69.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $87.10 / $177.83	Professional	TC	$56.23	$87.10	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $131.83	Professional		$67.61	$91.20	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $26.92 / $39.81	Professional	26	$20.89	$26.92	$39.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $63.10 / $93.33	Professional	TC	$45.71	$63.10	$93.33