Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $30.20 / $30.20	Facility	26	$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $302.00	Professional		$112.20	$151.36	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $30.20 / $61.66	Professional	26	$21.38	$30.20	$61.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $114.82 / $213.80	Professional	TC	$89.13	$114.82	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $95.50 / $199.53	Professional		$83.18	$95.50	$199.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $20.42 / $33.11	Professional	26	$20.42	$20.42	$33.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $131.83	Professional		$85.11	$120.23	$131.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $24.55 / $26.92	Professional	26	$17.38	$24.55	$26.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $95.50 / $104.71	Professional	TC	$67.61	$95.50	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $338.84	Professional		$95.50	$151.36	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $26.30 / $64.57	Professional	26	$18.62	$26.30	$64.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $138.04 / $281.84	Professional	TC	$89.13	$138.04	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $208.93	Professional		$97.72	$128.82	$208.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $23.44 / $32.36	Professional	26	$18.62	$23.44	$32.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $102.33 / $181.97	Professional	TC	$79.43	$102.33	$181.97