Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.00 / $42.00 / $42.00	Facility	26	$42.00	$42.00	$42.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $98.99 / $127.50	Professional		$69.34	$98.99	$127.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.52 / $34.82 / $43.72	Professional	26	$27.52	$34.82	$43.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.52 / $65.25 / $85.73	Professional	TC	$37.52	$65.25	$85.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.14 / $104.14 / $104.14	Professional		$104.14	$104.14	$104.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $98.01 / $115.65	Professional		$71.55	$98.01	$115.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.94 / $34.17 / $40.32	Professional	26	$24.94	$34.17	$40.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.60 / $63.84 / $75.33	Professional	TC	$46.60	$63.84	$75.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $92.72 / $282.66	Professional		$54.25	$92.72	$282.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.23 / $37.09 / $125.67	Professional	26	$31.23	$37.09	$125.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.30 / $49.96 / $156.97	Professional	TC	$20.30	$49.96	$156.97
United Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $79.04 / $115.20	Professional		$55.76	$79.04	$115.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.01 / $34.17 / $53.60	Professional	26	$25.01	$34.17	$53.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.80 / $49.42 / $64.48	Professional	TC	$20.80	$49.42	$64.48