Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.29 / $47.78 / $64.50	Facility	26	$34.29	$47.78	$64.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $209.86 / $236.54	Professional		$160.50	$209.86	$236.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.53 / $44.54 / $50.16	Professional	26	$31.53	$44.54	$50.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $126.20 / $174.54 / $186.37	Professional	TC	$126.20	$174.54	$186.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $139.16 / $240.77	Professional		$128.41	$139.16	$240.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.63 / $34.53 / $46.31	Professional	26	$27.63	$34.53	$46.31
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $102.67 / $170.38 / $170.38	Professional	TC	$102.67	$170.38	$170.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.44 / $228.00 / $269.04	Professional		$166.44	$228.00	$269.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.21 / $46.86 / $55.29	Professional	26	$34.21	$46.86	$55.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $132.22 / $181.14 / $213.75	Professional	TC	$132.22	$181.14	$213.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.50 / $207.52 / $489.22	Professional		$147.50	$207.52	$489.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.18 / $38.84 / $105.00	Professional	26	$27.18	$38.84	$105.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.71 / $179.13 / $427.79	Professional	TC	$126.71	$179.13	$427.79
United Facility/Professional Professional Modifier Low / Median / High Price $152.66 / $183.63 / $311.48	Professional		$152.66	$183.63	$311.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.59 / $36.71 / $51.79	Professional	26	$30.59	$36.71	$51.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $122.07 / $154.63 / $275.12	Professional	TC	$122.07	$154.63	$275.12