Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $55.31 / $74.66	Facility	26	$40.74	$55.31	$74.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $97.69 / $118.69	Professional		$77.73	$97.69	$118.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.21 / $50.34 / $58.80	Professional	26	$40.21	$50.34	$58.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.32 / $52.60 / $63.49	Professional	TC	$41.32	$52.60	$63.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $97.44 / $123.09	Professional		$76.31	$97.44	$123.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.98 / $53.98 / $80.37	Professional	26	$53.98	$53.98	$80.37
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $123.09 / $123.09 / $123.09	Professional	50	$123.09	$123.09	$123.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $96.72 / $114.13	Professional		$70.61	$96.72	$114.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.04 / $45.28 / $53.43	Professional	26	$33.04	$45.28	$53.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.54 / $51.44 / $60.70	Professional	TC	$37.54	$51.44	$60.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.03 / $99.88 / $319.27	Professional		$79.03	$99.88	$319.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.51 / $51.93 / $169.09	Professional	26	$41.51	$51.93	$169.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.52 / $46.53 / $150.21	Professional	TC	$37.52	$46.53	$150.21
United Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $91.48 / $136.72	Professional		$69.48	$91.48	$136.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.10 / $45.28 / $70.92	Professional	26	$33.10	$45.28	$70.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.38 / $46.20 / $68.98	Professional	TC	$36.38	$46.20	$68.98