Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.73 / $77.59 / $104.74	Facility	26	$65.73	$77.59	$104.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $232.09 / $332.54	Professional		$171.00	$232.09	$332.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $65.31 / $98.00	Professional	26	$51.30	$65.31	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $154.49 / $228.97	Professional	TC	$119.70	$154.49	$228.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $124.99 / $194.83	Professional		$58.82	$124.99	$194.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.43 / $60.23 / $66.97	Professional	26	$40.43	$60.23	$66.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.68 / $162.25 / $348.10	Professional		$107.68	$162.25	$348.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.14 / $118.00 / $139.24	Professional	26	$86.14	$118.00	$139.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.61 / $97.35 / $208.86	Professional	TC	$64.61	$97.35	$208.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.74 / $282.80 / $507.00	Professional		$140.74	$282.80	$507.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.35 / $78.70 / $162.97	Professional	26	$44.35	$78.70	$162.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.74 / $196.53 / $402.36	Professional	TC	$93.74	$196.53	$402.36
United Facility/Professional Professional Modifier Low / Median / High Price $149.41 / $216.17 / $443.99	Professional		$149.41	$216.17	$443.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.91 / $61.36 / $88.22	Professional	26	$47.91	$61.36	$88.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.50 / $135.33 / $361.41	Professional	TC	$101.50	$135.33	$361.41