Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.87 / $86.14 / $116.28	Facility	26	$67.87	$86.14	$116.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $232.78 / $299.52	Professional		$171.00	$232.78	$299.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $72.38 / $98.00	Professional	26	$51.30	$72.38	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $116.70 / $142.51 / $220.00	Professional	TC	$116.70	$142.51	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.73 / $108.73 / $120.81	Professional		$108.73	$108.73	$120.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.58 / $61.42 / $73.84	Professional	26	$44.58	$61.42	$73.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.74 / $166.87 / $358.00	Professional		$110.74	$166.87	$358.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.23 / $88.00 / $103.84	Professional	26	$64.23	$88.00	$103.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $78.62 / $118.47 / $254.16	Professional	TC	$78.62	$118.47	$254.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $281.14 / $491.30	Professional		$137.33	$281.14	$491.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.95 / $77.12 / $156.88	Professional	26	$48.95	$77.12	$156.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.65 / $207.59 / $383.00	Professional	TC	$91.65	$207.59	$383.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $203.55 / $387.75	Professional		$156.72	$203.55	$387.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.99 / $62.80 / $87.92	Professional	26	$48.99	$62.80	$87.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.67 / $138.22 / $305.14	Professional	TC	$103.67	$138.22	$305.14