Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.96 / $46.96 / $63.39	Facility	26	$46.96	$46.96	$63.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.68 / $170.67 / $232.99	Professional		$126.68	$170.67	$232.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.49 / $46.96 / $63.40	Professional	26	$34.49	$46.96	$63.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.18 / $123.72 / $169.58	Professional	TC	$92.18	$123.72	$169.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $110.25 / $133.99	Professional		$95.79	$110.25	$133.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.76 / $41.16 / $45.70	Professional	26	$27.76	$41.16	$45.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $225.20 / $225.20 / $225.20	Professional	TC	$225.20	$225.20	$225.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.35 / $197.74 / $233.33	Professional		$144.35	$197.74	$233.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.50 / $50.00 / $59.00	Professional	26	$36.50	$50.00	$59.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $107.85 / $147.74 / $174.33	Professional	TC	$107.85	$147.74	$174.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.29 / $173.00 / $404.86	Professional		$121.29	$173.00	$404.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.59 / $52.05 / $113.80	Professional	26	$35.59	$52.05	$113.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.90 / $136.46 / $324.23	Professional	TC	$107.90	$136.46	$324.23
United Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $159.09 / $270.26	Professional		$125.60	$159.09	$270.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.59 / $39.13 / $71.76	Professional	26	$30.59	$39.13	$71.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.59 / $119.18 / $203.98	Professional	TC	$94.59	$119.18	$203.98