Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.25 / $75.25 / $101.58	Facility	26	$75.25	$75.25	$101.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $251.56 / $339.60	Professional		$171.00	$251.56	$339.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $63.34 / $98.00	Professional	26	$51.30	$63.34	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $176.31 / $272.87	Professional	TC	$119.70	$176.31	$272.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.20 / $39.20 / $58.91	Professional	26	$39.20	$39.20	$58.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.37 / $139.19 / $298.63	Professional		$92.37	$139.19	$298.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.28 / $67.51 / $79.66	Professional	26	$49.28	$67.51	$79.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.73 / $102.07 / $218.97	Professional	TC	$67.73	$102.07	$218.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.55 / $327.82 / $570.25	Professional		$152.55	$327.82	$570.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.01 / $82.50 / $156.00	Professional	26	$43.01	$82.50	$156.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $245.00 / $453.62	Professional	TC	$112.20	$245.00	$453.62
United Facility/Professional Professional Modifier Low / Median / High Price $174.79 / $227.00 / $452.61	Professional		$174.79	$227.00	$452.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.46 / $57.74 / $97.64	Professional	26	$44.46	$57.74	$97.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.94 / $169.26 / $365.92	Professional	TC	$126.94	$169.26	$365.92