Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.21 / $44.85 / $60.54	Facility	26	$30.21	$44.85	$60.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.93 / $115.43 / $177.61	Professional		$83.93	$115.43	$177.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.57 / $29.29 / $47.09	Professional	26	$22.57	$29.29	$47.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.36 / $86.57 / $130.51	Professional	TC	$61.36	$86.57	$130.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.16 / $111.22 / $113.32	Professional		$67.16	$111.22	$113.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.05 / $29.92 / $30.48	Professional	26	$18.05	$29.92	$30.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.11 / $107.00 / $126.26	Professional		$78.11	$107.00	$126.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.13 / $27.57 / $32.53	Professional	26	$20.13	$27.57	$32.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.98 / $79.43 / $93.73	Professional	TC	$57.98	$79.43	$93.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.05 / $144.15 / $263.08	Professional		$81.05	$144.15	$263.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.30 / $37.63 / $71.14	Professional	26	$24.30	$37.63	$71.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.98 / $112.16 / $231.07	Professional	TC	$66.98	$112.16	$231.07
United Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $97.67 / $146.00	Professional		$75.52	$97.67	$146.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.76 / $25.41 / $37.90	Professional	26	$19.76	$25.41	$37.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.76 / $72.11 / $108.01	Professional	TC	$55.76	$72.11	$108.01