Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.02 / $15.09 / $20.38	Facility	26	$13.02	$15.09	$20.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $95.39 / $127.12	Professional		$69.45	$95.39	$127.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.60 / $13.94 / $15.85	Professional	26	$10.60	$13.94	$15.85
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $33.51 / $47.70 / $49.58	Professional	52	$33.51	$47.70	$49.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.84 / $80.30 / $108.84	Professional	TC	$58.84	$80.30	$108.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $60.67 / $92.02	Professional		$59.03	$60.67	$92.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.49 / $10.76 / $14.06	Professional	26	$8.49	$10.76	$14.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.81 / $119.00 / $140.41	Professional		$86.81	$119.00	$140.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.99 / $17.80 / $21.00	Professional	26	$12.99	$17.80	$21.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.55 / $101.20 / $119.42	Professional	TC	$73.55	$101.20	$119.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $92.21 / $211.35	Professional		$64.34	$92.21	$211.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.39 / $13.01 / $35.08	Professional	26	$10.39	$13.01	$35.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.35 / $83.20 / $200.92	Professional	TC	$60.35	$83.20	$200.92
United Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $80.88 / $150.41	Professional		$64.84	$80.88	$150.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $12.35 / $16.96	Professional	26	$9.75	$12.35	$16.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.02 / $68.73 / $132.09	Professional	TC	$55.02	$68.73	$132.09