Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $194.98	Professional		$75.86	$100.00	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $109.65 / $691.83	Professional	26	$33.88	$109.65	$691.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $66.07 / $138.04	Professional	TC	$48.98	$66.07	$138.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $48.98 / $51.29	Professional	26	$48.98	$48.98	$51.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $162.18	Professional		$138.04	$138.04	$162.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $48.98 / $57.54	Professional	26	$48.98	$48.98	$57.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $87.10 / $104.71	Professional	TC	$87.10	$87.10	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $194.98	Professional		$52.48	$61.66	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.92 / $93.33	Professional	26	$19.05	$26.92	$93.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $35.48 / $102.33	Professional	TC	$30.90	$35.48	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $138.04	Professional		$69.18	$95.50	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $42.66 / $58.88	Professional	26	$25.70	$42.66	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $50.12 / $83.18	Professional	TC	$34.67	$50.12	$83.18