Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.60 / $71.43 / $106.70	Facility		$50.60	$71.43	$106.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.78 / $30.78 / $30.78	Facility	26	$30.78	$30.78	$30.78
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $34.47 / $34.47 / $40.64	Facility	TC	$34.47	$34.47	$40.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $71.43 / $88.98	Professional		$49.04	$71.43	$88.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.52 / $30.78 / $47.79	Professional	26	$20.52	$30.78	$47.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.52 / $40.65 / $41.18	Professional	TC	$28.52	$40.65	$41.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.38 / $29.64 / $29.64	Professional	26	$12.38	$29.64	$29.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $102.00 / $120.36	Professional		$102.00	$102.00	$120.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.55 / $55.06 / $64.97	Professional	26	$49.55	$55.06	$64.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.94 / $46.94 / $55.39	Professional	TC	$46.94	$46.94	$55.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $36.56 / $117.85	Professional		$29.71	$36.56	$117.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.71 / $24.41 / $70.42	Professional	26	$12.71	$24.41	$70.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.95 / $18.55 / $47.43	Professional	TC	$15.95	$18.55	$47.43
United Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $62.61 / $102.86	Professional		$37.84	$62.61	$102.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.70 / $26.69 / $52.40	Professional	26	$16.70	$26.69	$52.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.14 / $31.83 / $48.04	Professional	TC	$21.14	$31.83	$48.04