Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.01 / $106.02 / $143.12	Facility	26	$106.01	$106.02	$143.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $425.00 / $491.75	Professional		$275.00	$425.00	$491.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $106.02 / $141.00	Professional	26	$68.75	$106.02	$141.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $323.08 / $366.30	Professional	TC	$206.25	$323.08	$366.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.78 / $177.78 / $197.53	Professional		$177.78	$177.78	$197.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.93 / $269.50 / $578.20	Professional		$175.93	$269.50	$578.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.63 / $131.00 / $154.58	Professional	26	$95.63	$131.00	$154.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.12 / $193.05 / $414.18	Professional	TC	$128.12	$193.05	$414.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.33 / $400.00 / $792.24	Professional		$222.33	$400.00	$792.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.00 / $99.37 / $204.45	Professional	26	$56.00	$99.37	$204.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.99 / $289.42 / $627.36	Professional	TC	$162.99	$289.42	$627.36
United Facility/Professional Professional Modifier Low / Median / High Price $241.21 / $329.16 / $653.29	Professional		$241.21	$329.16	$653.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.50 / $72.78 / $98.75	Professional	26	$57.50	$72.78	$98.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $178.10 / $237.47 / $565.41	Professional	TC	$178.10	$237.47	$565.41