Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.19 / $30.19 / $40.75	Facility	26	$30.19	$30.19	$40.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.73 / $147.38 / $190.40	Professional		$99.73	$147.38	$190.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.60 / $25.00 / $30.36	Professional	26	$18.60	$25.00	$30.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.89 / $117.19 / $169.58	Professional	TC	$79.89	$117.19	$169.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.82 / $20.07 / $22.09	Professional	26	$16.82	$20.07	$22.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.08 / $120.66 / $142.38	Professional		$88.08	$120.66	$142.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.94 / $24.58 / $29.00	Professional	26	$17.94	$24.58	$29.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.14 / $96.08 / $113.37	Professional	TC	$70.14	$96.08	$113.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.39 / $134.38 / $319.51	Professional		$94.39	$134.38	$319.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $24.36 / $61.73	Professional	26	$17.39	$24.36	$61.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.16 / $114.77 / $274.17	Professional	TC	$81.16	$114.77	$274.17
United Facility/Professional Professional Modifier Low / Median / High Price $98.53 / $124.26 / $208.22	Professional		$98.53	$124.26	$208.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.97 / $23.58 / $32.65	Professional	26	$18.97	$23.58	$32.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.04 / $100.12 / $179.86	Professional	TC	$79.04	$100.12	$179.86