Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $181.97	Professional		$58.88	$74.13	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $41.69 / $75.86	Professional	26	$33.11	$41.69	$75.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $33.11 / $63.10	Professional	TC	$16.98	$33.11	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $100.00	Professional		$66.07	$87.10	$100.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $66.07 / $66.07	Professional	26	$66.07	$66.07	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $95.50	Professional		$57.54	$81.28	$95.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $41.69 / $50.12	Professional	26	$29.51	$41.69	$50.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $38.90 / $46.77	Professional	TC	$27.54	$38.90	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $208.93	Professional		$69.18	$93.33	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $61.66 / $112.20	Professional	26	$41.69	$61.66	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $28.84 / $69.18	Professional	TC	$23.44	$28.84	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $89.13	Professional		$46.77	$64.57	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $37.15 / $56.23	Professional	26	$28.84	$37.15	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $24.55 / $36.31	Professional	TC	$19.50	$24.55	$36.31