Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.67 / $16.67 / $16.67	Facility	26	$16.67	$16.67	$16.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.93 / $120.97 / $275.00	Professional		$98.93	$120.97	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.04 / $17.93 / $55.00	Professional	26	$14.04	$17.93	$55.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.89 / $104.31 / $220.00	Professional	TC	$84.89	$104.31	$220.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $9.52 / $10.82	Professional	26	$9.52	$9.52	$10.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $57.84 / $124.08	Professional		$38.38	$57.84	$124.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.88 / $12.17 / $14.36	Professional	26	$8.88	$12.17	$14.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.94 / $51.14 / $109.72	Professional	TC	$33.94	$51.14	$109.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.11 / $157.44 / $317.69	Professional		$81.11	$157.44	$317.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $14.99 / $34.11	Professional	26	$8.94	$14.99	$34.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.84 / $124.90 / $263.68	Professional	TC	$68.84	$124.90	$263.68
United Facility/Professional Professional Modifier Low / Median / High Price $87.16 / $112.17 / $200.69	Professional		$87.16	$112.17	$200.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.47 / $12.17 / $17.43	Professional	26	$9.47	$12.17	$17.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.69 / $101.21 / $186.11	Professional	TC	$77.69	$101.21	$186.11