Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $75.86 / $75.86	Facility	26	$48.98	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $436.52	Professional		$154.88	$239.88	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $91.20 / $165.96	Professional	26	$51.29	$91.20	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $144.54 / $302.00	Professional	TC	$100.00	$144.54	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $123.03	Professional		$54.95	$54.95	$123.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $58.88 / $79.43	Professional	26	$39.81	$58.88	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $251.19 / $295.12	Professional		$91.20	$251.19	$295.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $100.00 / $128.82	Professional	26	$70.79	$100.00	$128.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $151.36 / $177.83	Professional	TC	$54.95	$151.36	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $489.78	Professional		$151.36	$275.42	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $83.18 / $151.36	Professional	26	$54.95	$83.18	$151.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $199.53 / $331.13	Professional	TC	$97.72	$199.53	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $407.38	Professional		$125.89	$186.21	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $57.54 / $89.13	Professional	26	$43.65	$57.54	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $120.23 / $309.03	Professional	TC	$83.18	$120.23	$309.03