Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $87.10 / $87.10	Facility	26	$56.23	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $575.44	Professional		$158.49	$257.04	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $102.33 / $177.83	Professional	26	$54.95	$102.33	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $151.36 / $288.40	Professional	TC	$100.00	$151.36	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $144.54	Professional		$131.83	$131.83	$144.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $70.79 / $100.00	Professional	26	$44.67	$70.79	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $302.00 / $354.81	Professional		$109.65	$302.00	$354.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $87.10 / $112.20	Professional	26	$61.66	$87.10	$112.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $213.80 / $257.04	Professional	TC	$79.43	$213.80	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $275.42 / $524.81	Professional		$162.18	$275.42	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $77.62 / $158.49	Professional	26	$58.88	$77.62	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $199.53 / $363.08	Professional	TC	$120.23	$199.53	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $389.05	Professional		$158.49	$204.17	$389.05
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 $104.71 / $138.04 / $302.00	Professional	TC	$104.71	$138.04	$302.00