Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.85 / $29.85 / $34.81	Facility	26	$29.85	$29.85	$34.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $105.88 / $127.89	Professional		$68.06	$105.88	$127.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $29.85 / $35.10	Professional	26	$17.82	$29.85	$35.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.22 / $76.03 / $95.34	Professional	TC	$50.22	$76.03	$95.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.89 / $18.89 / $21.15	Professional	26	$18.89	$18.89	$21.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.68 / $95.99 / $164.82	Professional		$85.68	$95.99	$164.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.98 / $30.62 / $36.60	Professional	26	$23.98	$30.62	$36.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.72 / $70.59 / $128.94	Professional	TC	$61.72	$70.59	$128.94
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 $58.85 / $90.28 / $159.91	Professional		$58.85	$90.28	$159.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.93 / $22.28 / $34.90	Professional	26	$15.93	$22.28	$34.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.47 / $62.57 / $117.10	Professional	TC	$39.47	$62.57	$117.10