Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.20 / $34.20 / $34.20	Facility	26	$34.20	$34.20	$34.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $79.77 / $124.63	Professional		$56.76	$79.77	$124.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.76 / $20.47 / $35.90	Professional	26	$16.76	$20.47	$35.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.00 / $59.30 / $88.72	Professional	TC	$40.00	$59.30	$88.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.43 / $68.43 / $86.35	Professional		$68.43	$68.43	$86.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.89 / $19.82 / $25.03	Professional	26	$18.89	$19.82	$25.03
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $61.32 / $61.32 / $61.32	Professional	TC	$61.32	$61.32	$61.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.04 / $148.00 / $174.64	Professional		$108.04	$148.00	$174.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.11 / $44.00 / $51.92	Professional	26	$32.11	$44.00	$51.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.92 / $104.00 / $122.72	Professional	TC	$75.92	$104.00	$122.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $67.55 / $67.55	Professional		$67.55	$67.55	$67.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $18.45 / $18.45	Professional	26	$18.45	$18.45	$18.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $49.10 / $49.10	Professional	TC	$49.10	$49.10	$49.10
United Facility/Professional Professional Modifier Low / Median / High Price $57.38 / $80.84 / $159.32	Professional		$57.38	$80.84	$159.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.28 / $20.68 / $25.45	Professional	26	$15.28	$20.68	$25.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.68 / $58.88 / $136.29	Professional	TC	$41.68	$58.88	$136.29