Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $85.11 / $85.11	Facility	26	$56.23	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $524.81	Professional		$169.82	$275.42	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $85.11 / $173.78	Professional	26	$52.48	$85.11	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $181.97 / $371.54	Professional	TC	$120.23	$181.97	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $58.88 / $104.71	Professional	26	$44.67	$58.88	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $302.00 / $354.81	Professional		$112.20	$302.00	$354.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $138.04 / $177.83	Professional	26	$95.50	$138.04	$177.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $165.96 / $194.98	Professional	TC	$60.26	$165.96	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $588.84	Professional		$181.97	$323.59	$588.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $93.33 / $177.83	Professional	26	$61.66	$93.33	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $245.47 / $416.87	Professional	TC	$123.03	$245.47	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $501.19	Professional		$154.88	$229.09	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $64.57 / $97.72	Professional	26	$48.98	$64.57	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $151.36 / $389.05	Professional	TC	$107.15	$151.36	$389.05