Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.34 / $127.89 / $127.89	Facility	26	$77.34	$127.89	$127.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $425.00 / $496.33	Professional		$275.00	$425.00	$496.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $127.89 / $144.09	Professional	26	$68.75	$127.89	$144.09
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $137.50 / $203.39 / $248.17	Professional	52	$137.50	$203.39	$248.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $304.22 / $340.00	Professional	TC	$206.25	$304.22	$340.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $59.86 / $61.87 / $92.98	Professional	26	$59.86	$61.87	$92.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.28 / $294.25 / $631.29	Professional		$195.28	$294.25	$631.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $138.69 / $190.00 / $224.20	Professional	26	$138.69	$190.00	$224.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $125.93 / $189.75 / $407.10	Professional	TC	$125.93	$189.75	$407.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.16 / $475.00 / $939.01	Professional		$227.16	$475.00	$939.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.88 / $119.89 / $248.77	Professional	26	$67.88	$119.89	$248.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $156.44 / $332.50 / $788.30	Professional	TC	$156.44	$332.50	$788.30
United Facility/Professional Professional Modifier Low / Median / High Price $241.49 / $330.85 / $806.98	Professional		$241.49	$330.85	$806.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.48 / $87.71 / $121.79	Professional	26	$68.48	$87.71	$121.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.73 / $222.31 / $690.90	Professional	TC	$166.73	$222.31	$690.90