Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $85.11 / $85.11	Facility	26	$56.23	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $478.63	Professional		$169.82	$269.15	$478.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $91.20 / $165.96	Professional	26	$52.48	$91.20	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $162.18 / $302.00	Professional	TC	$114.82	$162.18	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $138.04 / $154.88	Professional		$123.03	$138.04	$154.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $75.86 / $93.33	Professional	26	$43.65	$75.86	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $295.12 / $354.81	Professional		$109.65	$295.12	$354.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $120.23 / $151.36	Professional	26	$83.18	$120.23	$151.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $177.83 / $208.93	Professional	TC	$66.07	$177.83	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $323.59 / $537.03	Professional		$169.82	$323.59	$537.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $87.10 / $177.83	Professional	26	$58.88	$87.10	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $229.09 / $371.54	Professional	TC	$112.20	$229.09	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $436.52	Professional		$144.54	$213.80	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $63.10 / $93.33	Professional	26	$47.86	$63.10	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $138.04 / $354.81	Professional	TC	$97.72	$138.04	$354.81