Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.59 / $104.76 / $104.76	Facility	26	$77.59	$104.76	$104.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $66.29 / $107.03	Professional		$51.79	$66.29	$107.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.90 / $44.36 / $77.59	Professional	26	$37.90	$44.36	$77.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.89 / $21.93 / $29.43	Professional	TC	$13.89	$21.93	$29.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $49.80 / $50.53	Professional		$49.80	$49.80	$50.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.89 / $33.89 / $35.71	Professional	26	$33.89	$33.89	$35.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.28 / $136.00 / $160.47	Professional		$99.28	$136.00	$160.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.67 / $79.00 / $93.22	Professional	26	$57.67	$79.00	$93.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.61 / $57.00 / $67.26	Professional	TC	$41.61	$57.00	$67.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.93 / $47.93 / $47.93	Facility	26	$47.93	$47.93	$47.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $74.70 / $205.33	Professional		$60.59	$74.70	$205.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.40 / $56.29 / $148.28	Professional	26	$43.40	$56.29	$148.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.18 / $21.67 / $57.29	Professional	TC	$17.18	$21.67	$57.29
United Facility/Professional Professional Modifier Low / Median / High Price $48.47 / $65.37 / $81.65	Professional		$48.47	$65.37	$81.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.51 / $45.46 / $56.74	Professional	26	$34.51	$45.46	$56.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.96 / $18.26 / $24.91	Professional	TC	$13.96	$18.26	$24.91