Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $44.67 / $44.67	Facility	26	$23.44	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $169.82 / $316.23	Professional		$89.13	$169.82	$316.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $39.81 / $79.43	Professional	26	$22.91	$39.81	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $87.10 / $147.91	Professional	TC	$66.07	$87.10	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $194.98	Professional		$72.44	$112.20	$194.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $28.84 / $35.48	Professional	26	$20.42	$28.84	$35.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $117.49	Professional		$74.13	$107.15	$117.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $27.54 / $30.20	Professional	26	$19.50	$27.54	$30.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $79.43 / $87.10	Professional	TC	$56.23	$79.43	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $281.84	Professional		$75.86	$138.04	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $38.02 / $72.44	Professional	26	$24.55	$38.02	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $109.65 / $239.88	Professional	TC	$70.79	$109.65	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $173.78	Professional		$75.86	$100.00	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $26.30 / $47.86	Professional	26	$19.95	$26.30	$47.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $74.13 / $128.82	Professional	TC	$56.23	$74.13	$128.82