Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.48 / $86.59 / $86.60	Facility	26	$63.48	$86.59	$86.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $355.77 / $475.00	Professional		$275.00	$355.77	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $86.60 / $140.00	Professional	26	$68.75	$86.60	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $258.32 / $340.00	Professional	TC	$206.25	$258.32	$340.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.88 / $160.88 / $163.01	Professional		$160.88	$160.88	$163.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $48.02 / $62.62	Professional	26	$41.69	$48.02	$62.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.89 / $246.95 / $529.82	Professional		$163.89	$246.95	$529.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.10 / $130.28 / $153.72	Professional	26	$95.10	$130.28	$153.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $116.33 / $175.30 / $376.09	Professional	TC	$116.33	$175.30	$376.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.56 / $457.24 / $868.10	Professional		$181.56	$457.24	$868.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $80.23 / $167.99	Professional	26	$45.71	$80.23	$167.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $133.36 / $361.62 / $766.99	Professional	TC	$133.36	$361.62	$766.99
United Facility/Professional Professional Modifier Low / Median / High Price $187.58 / $250.10 / $722.98	Professional		$187.58	$250.10	$722.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.89 / $59.28 / $79.86	Professional	26	$44.89	$59.28	$79.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $145.06 / $188.39 / $652.36	Professional	TC	$145.06	$188.39	$652.36