Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.29 / $55.02 / $74.27	Facility	26	$32.29	$55.02	$74.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.21 / $75.63 / $111.68	Professional		$51.21	$75.63	$111.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.93 / $31.61 / $57.77	Professional	26	$26.93	$31.61	$57.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.28 / $44.02 / $53.91	Professional	TC	$24.28	$44.02	$53.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.22 / $52.68 / $78.22	Professional		$47.22	$52.68	$78.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.45 / $31.68 / $39.97	Professional	26	$25.45	$31.68	$39.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $147.00 / $173.46	Professional		$107.31	$147.00	$173.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.47 / $70.50 / $83.19	Professional	26	$51.47	$70.50	$83.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.85 / $76.50 / $90.27	Professional	TC	$55.85	$76.50	$90.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.06 / $34.06 / $34.06	Facility	26	$34.06	$34.06	$34.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $82.35 / $210.84	Professional		$60.73	$82.35	$210.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.73 / $39.94 / $108.00	Professional	26	$30.73	$39.94	$108.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.23 / $41.94 / $104.68	Professional	TC	$29.23	$41.94	$104.68
United Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $67.65 / $95.21	Professional		$50.89	$67.65	$95.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.50 / $32.19 / $40.27	Professional	26	$24.50	$32.19	$40.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.72 / $35.28 / $57.80	Professional	TC	$25.72	$35.28	$57.80