Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.28 / $75.28 / $75.28	Facility	26	$75.28	$75.28	$75.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $80.84 / $143.91	Professional		$71.34	$80.84	$143.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $47.02 / $75.28	Professional	26	$38.90	$47.02	$75.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.33 / $36.54 / $68.63	Professional	TC	$24.33	$36.54	$68.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.28 / $91.80 / $103.92	Professional		$69.28	$91.80	$103.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.20 / $39.20 / $39.20	Professional	26	$39.20	$39.20	$39.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $90.36 / $106.62	Professional		$63.25	$90.36	$106.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.06 / $47.93 / $56.56	Professional	26	$34.06	$47.93	$56.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.70 / $42.43 / $50.07	Professional	TC	$29.70	$42.43	$50.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.17 / $88.66 / $195.69	Professional		$69.17	$88.66	$195.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.17 / $60.91 / $136.27	Professional	26	$40.17	$60.91	$136.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.30 / $27.75 / $72.30	Professional	TC	$23.30	$27.75	$72.30
United Facility/Professional Professional Modifier Low / Median / High Price $52.55 / $67.56 / $95.04	Professional		$52.55	$67.56	$95.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.82 / $40.51 / $61.57	Professional	26	$30.82	$40.51	$61.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.32 / $26.66 / $35.86	Professional	TC	$20.32	$26.66	$35.86