Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.20 / $85.20 / $85.21	Facility	26	$85.20	$85.20	$85.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $258.91 / $349.43	Professional		$171.00	$258.91	$349.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $71.18 / $92.27	Professional	26	$51.30	$71.18	$92.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $173.69 / $288.44	Professional	TC	$119.70	$173.69	$288.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.28 / $139.28 / $139.28	Professional		$139.28	$139.28	$139.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.88 / $43.88 / $50.70	Professional	26	$43.88	$43.88	$50.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.96 / $167.20 / $358.72	Professional		$110.96	$167.20	$358.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.10 / $137.13 / $161.81	Professional	26	$100.10	$137.13	$161.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.91 / $91.78 / $196.91	Professional	TC	$60.91	$91.78	$196.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.40 / $325.00 / $602.51	Professional		$147.40	$325.00	$602.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.15 / $89.51 / $177.74	Professional	26	$48.15	$89.51	$177.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.42 / $227.50 / $490.98	Professional	TC	$100.42	$227.50	$490.98
United Facility/Professional Professional Modifier Low / Median / High Price $155.09 / $214.50 / $500.55	Professional		$155.09	$214.50	$500.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.72 / $62.44 / $94.49	Professional	26	$48.72	$62.44	$94.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.37 / $141.83 / $416.41	Professional	TC	$106.37	$141.83	$416.41