Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.11 / $38.11 / $51.46	Facility	26	$38.11	$38.11	$51.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $133.88 / $147.62	Professional		$86.29	$133.88	$147.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.42 / $34.83 / $38.11	Professional	26	$23.42	$34.83	$38.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.86 / $98.01 / $112.79	Professional	TC	$62.86	$98.01	$112.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.32 / $40.31 / $40.31	Professional	26	$15.32	$40.31	$40.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.11 / $122.49 / $144.54	Professional		$76.11	$122.49	$144.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.52 / $35.17 / $41.50	Professional	26	$18.52	$35.17	$41.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.60 / $87.32 / $103.04	Professional	TC	$57.60	$87.32	$103.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.06 / $64.12 / $791.76	Professional		$44.06	$64.12	$791.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.87 / $17.32 / $217.59	Professional	26	$12.87	$17.32	$217.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.00 / $43.66 / $574.16	Professional	TC	$31.00	$43.66	$574.16
United Facility/Professional Professional Modifier Low / Median / High Price $69.90 / $84.23 / $140.38	Professional		$69.90	$84.23	$140.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.25 / $21.65 / $36.09	Professional	26	$18.25	$21.65	$36.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.54 / $62.58 / $92.84	Professional	TC	$50.54	$62.58	$92.84