Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.13 / $86.13 / $86.13	Facility	26	$86.13	$86.13	$86.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $373.62 / $475.00	Professional		$275.00	$373.62	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $86.13 / $140.00	Professional	26	$68.75	$86.13	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $276.68 / $340.00	Professional	TC	$206.25	$276.68	$340.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.91 / $62.29 / $62.29	Professional	26	$51.91	$62.29	$62.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.86 / $164.03 / $351.91	Professional		$108.86	$164.03	$351.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.04 / $58.96 / $69.56	Professional	26	$43.04	$58.96	$69.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.34 / $131.60 / $282.33	Professional	TC	$87.34	$131.60	$282.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.96 / $475.00 / $866.55	Professional		$190.96	$475.00	$866.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.45 / $80.23 / $167.04	Professional	26	$45.45	$80.23	$167.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $142.76 / $361.20 / $765.44	Professional	TC	$142.76	$361.20	$765.44
United Facility/Professional Professional Modifier Low / Median / High Price $200.36 / $282.72 / $722.39	Professional		$200.36	$282.72	$722.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.66 / $58.96 / $79.84	Professional	26	$44.66	$58.96	$79.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $149.15 / $204.90 / $650.94	Professional	TC	$149.15	$204.90	$650.94