Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.03 / $101.03 / $136.38	Facility	26	$101.03	$101.03	$136.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.92 / $99.59 / $175.85	Professional		$89.92	$99.59	$175.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.24 / $63.15 / $101.22	Professional	26	$52.24	$63.15	$101.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.10 / $40.11 / $74.81	Professional	TC	$28.10	$40.11	$74.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.63 / $89.91 / $135.01	Professional		$85.63	$89.91	$135.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.12 / $53.12 / $53.12	Professional	26	$53.12	$53.12	$53.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $110.76 / $130.69	Professional		$78.14	$110.76	$130.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.17 / $64.40 / $75.98	Professional	26	$46.17	$64.40	$75.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.45 / $46.36 / $54.70	Professional	TC	$32.45	$46.36	$54.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.21 / $110.66 / $254.95	Professional		$84.21	$110.66	$254.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.43 / $79.84 / $185.04	Professional	26	$54.43	$79.84	$185.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.57 / $31.69 / $79.09	Professional	TC	$26.57	$31.69	$79.09
United Facility/Professional Professional Modifier Low / Median / High Price $65.68 / $84.45 / $116.63	Professional		$65.68	$84.45	$116.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.94 / $55.92 / $77.88	Professional	26	$41.94	$55.92	$77.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.29 / $29.51 / $40.69	Professional	TC	$23.29	$29.51	$40.69