Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.20 / $85.21 / $85.21	Facility	26	$85.20	$85.21	$85.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $295.58 / $368.37	Professional		$171.00	$295.58	$368.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $71.59 / $98.00	Professional	26	$51.30	$71.59	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $210.36 / $306.18	Professional	TC	$119.70	$210.36	$306.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.65 / $142.65 / $142.65	Professional		$142.65	$142.65	$142.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.88 / $43.88 / $65.95	Professional	26	$43.88	$43.88	$65.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.33 / $167.75 / $359.90	Professional		$111.33	$167.75	$359.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $77.83 / $91.84	Professional	26	$56.82	$77.83	$91.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.92 / $124.95 / $268.06	Professional	TC	$82.92	$124.95	$268.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.22 / $366.49 / $652.19	Professional		$177.22	$366.49	$652.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.15 / $91.32 / $176.80	Professional	26	$48.15	$91.32	$176.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.22 / $280.00 / $530.13	Professional	TC	$126.22	$280.00	$530.13
United Facility/Professional Professional Modifier Low / Median / High Price $193.69 / $263.42 / $525.92	Professional		$193.69	$263.42	$525.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.75 / $62.12 / $98.84	Professional	26	$49.75	$62.12	$98.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $149.55 / $202.18 / $434.62	Professional	TC	$149.55	$202.18	$434.62