Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $87.10 / $87.10	Facility	26	$56.23	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $446.68	Professional		$151.36	$234.42	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $87.10 / $173.78	Professional	26	$54.95	$87.10	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $131.83 / $316.23	Professional	TC	$91.20	$131.83	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $70.79 / $100.00	Professional	26	$52.48	$70.79	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $218.78 / $257.04	Professional		$79.43	$218.78	$257.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $87.10 / $112.20	Professional	26	$61.66	$87.10	$112.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $131.83 / $154.88	Professional	TC	$47.86	$131.83	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $457.09	Professional		$151.36	$245.47	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $77.62 / $158.49	Professional	26	$58.88	$77.62	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $169.82 / $295.12	Professional	TC	$91.20	$169.82	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $338.84	Professional		$125.89	$181.97	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $63.10 / $93.33	Professional	26	$47.86	$63.10	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $109.65 / $263.03	Professional	TC	$75.86	$109.65	$263.03