Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.37 / $72.37 / $97.71	Facility	26	$72.37	$72.37	$97.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $133.88 / $198.00	Professional		$75.48	$133.88	$198.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.33 / $53.19 / $76.56	Professional	26	$37.33	$53.19	$76.56
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $37.74 / $47.56 / $76.03	Professional	52	$37.74	$47.56	$76.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.15 / $71.45 / $126.27	Professional	TC	$38.15	$71.45	$126.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.51 / $78.51 / $78.51	Professional		$78.51	$78.51	$78.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.11 / $41.92 / $55.89	Professional	26	$37.11	$41.92	$55.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.06 / $332.96 / $392.89	Professional		$243.06	$332.96	$392.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.22 / $114.00 / $146.15	Professional	26	$83.22	$114.00	$146.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $159.84 / $218.96 / $258.37	Professional	TC	$159.84	$218.96	$258.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.04 / $205.24 / $584.41	Professional		$87.04	$205.24	$584.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.89 / $74.56 / $223.56	Professional	26	$42.89	$74.56	$223.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.70 / $111.80 / $360.85	Professional	TC	$45.70	$111.80	$360.85
United Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $113.15 / $263.52	Professional		$86.94	$113.15	$263.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.72 / $44.60 / $96.35	Professional	26	$33.72	$44.60	$96.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.04 / $69.26 / $161.68	Professional	TC	$51.04	$69.26	$161.68