Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.82 / $96.82 / $96.82	Facility	26	$96.82	$96.82	$96.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $379.44 / $475.00	Professional		$275.00	$379.44	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $96.82 / $140.00	Professional	26	$68.75	$96.82	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $276.44 / $340.00	Professional	TC	$206.25	$276.44	$340.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.62 / $46.62 / $77.22	Professional	26	$46.62	$46.62	$77.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.66 / $266.20 / $571.12	Professional		$176.66	$266.20	$571.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $106.36 / $145.69 / $171.93	Professional	26	$106.36	$145.69	$171.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.48 / $186.07 / $399.19	Professional	TC	$123.48	$186.07	$399.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.52 / $419.19 / $805.34	Professional		$180.52	$419.19	$805.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.18 / $81.75 / $187.76	Professional	26	$48.18	$81.75	$187.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $129.38 / $331.93 / $694.23	Professional	TC	$129.38	$331.93	$694.23
United Facility/Professional Professional Modifier Low / Median / High Price $203.97 / $288.45 / $683.85	Professional		$203.97	$288.45	$683.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.43 / $65.97 / $91.83	Professional	26	$51.43	$65.97	$91.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.25 / $202.32 / $603.95	Professional	TC	$147.25	$202.32	$603.95