Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.16 / $67.16 / $67.16	Facility	26	$67.16	$67.16	$67.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $121.97 / $224.92	Professional		$52.52	$121.97	$224.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.77 / $37.68 / $67.16	Professional	26	$32.77	$37.68	$67.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $84.29 / $157.76	Professional	TC	$16.03	$84.29	$157.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.66 / $100.58 / $105.61	Professional		$94.66	$100.58	$105.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $125.46 / $148.04	Professional		$91.59	$125.46	$148.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.76 / $38.03 / $44.88	Professional	26	$27.76	$38.03	$44.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.82 / $87.43 / $103.17	Professional	TC	$63.82	$87.43	$103.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.32 / $46.32 / $46.32	Facility	26	$46.32	$46.32	$46.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.18 / $109.60 / $188.19	Professional		$53.18	$109.60	$188.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.14 / $52.10 / $143.52	Professional	26	$37.14	$52.10	$143.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.85 / $28.91 / $93.44	Professional	TC	$9.85	$28.91	$93.44
United Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $108.88 / $139.63	Professional		$60.62	$108.88	$139.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.77 / $40.78 / $54.28	Professional	26	$29.77	$40.78	$54.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.22 / $67.81 / $91.74	Professional	TC	$21.22	$67.81	$91.74