Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.39 / $56.39 / $76.12	Facility	26	$56.39	$56.39	$76.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $67.06 / $119.96	Professional		$56.32	$67.06	$119.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.14 / $36.13 / $56.55	Professional	26	$29.14	$36.13	$56.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.19 / $33.85 / $63.57	Professional	TC	$20.19	$33.85	$63.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $61.33 / $77.39	Professional		$54.32	$61.33	$77.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.55 / $69.25 / $81.72	Professional		$50.55	$69.25	$81.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.07 / $32.97 / $38.90	Professional	26	$24.07	$32.97	$38.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.48 / $36.28 / $42.81	Professional	TC	$26.48	$36.28	$42.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.55 / $70.06 / $154.53	Professional		$59.55	$70.06	$154.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.98 / $46.52 / $103.51	Professional	26	$30.98	$46.52	$103.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.82 / $25.58 / $67.98	Professional	TC	$19.82	$25.58	$67.98
United Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $55.65 / $77.59	Professional		$43.45	$55.65	$77.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.24 / $30.54 / $45.49	Professional	26	$23.24	$30.54	$45.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.13 / $24.54 / $31.90	Professional	TC	$18.13	$24.54	$31.90