Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.10 / $66.75 / $66.75	Facility	26	$58.10	$66.75	$66.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.20 / $456.38 / $479.19	Professional		$312.20	$456.38	$479.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.85 / $66.75 / $70.08	Professional	26	$45.85	$66.75	$70.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $265.11 / $389.63 / $409.11	Professional	TC	$265.11	$389.63	$409.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $311.57 / $311.57 / $311.57	Professional		$311.57	$311.57	$311.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.96 / $38.96 / $48.13	Professional	26	$38.96	$38.96	$48.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.34 / $360.48 / $396.53	Professional		$252.34	$360.48	$396.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.29 / $51.84 / $57.02	Professional	26	$36.29	$51.84	$57.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $216.05 / $308.64 / $339.50	Professional	TC	$216.05	$308.64	$339.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.24 / $485.82 / $1,843.64	Professional		$339.24	$485.82	$1,843.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.14 / $75.62 / $295.19	Professional	26	$53.14	$75.62	$295.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $286.08 / $411.01 / $1,548.44	Professional	TC	$286.08	$411.01	$1,548.44
United Facility/Professional Professional Modifier Low / Median / High Price $234.20 / $360.48 / $481.58	Professional		$234.20	$360.48	$481.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.64 / $51.84 / $72.56	Professional	26	$37.64	$51.84	$72.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.43 / $308.13 / $417.06	Professional	TC	$194.43	$308.13	$417.06