Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.19 / $84.23 / $84.23	Facility	26	$73.19	$84.23	$84.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $275.39 / $371.77	Professional		$171.00	$275.39	$371.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $70.75 / $98.00	Professional	26	$51.30	$70.75	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $191.16 / $288.12	Professional	TC	$119.70	$191.16	$288.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.50 / $146.50 / $146.50	Professional		$146.50	$146.50	$146.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.36 / $65.20 / $86.72	Professional	26	$43.36	$65.20	$86.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.04 / $197.45 / $423.62	Professional		$131.04	$197.45	$423.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $98.92 / $135.50 / $159.88	Professional	26	$98.92	$135.50	$159.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.58 / $122.93 / $263.73	Professional	TC	$81.58	$122.93	$263.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.18 / $340.67 / $624.57	Professional		$165.18	$340.67	$624.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.89 / $86.57 / $174.01	Professional	26	$48.89	$86.57	$174.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.95 / $244.32 / $507.94	Professional	TC	$114.95	$244.32	$507.94
United Facility/Professional Professional Modifier Low / Median / High Price $181.47 / $236.03 / $536.74	Professional		$181.47	$236.03	$536.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $67.70 / $97.65	Professional	26	$52.78	$67.70	$97.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.67 / $165.30 / $454.49	Professional	TC	$120.67	$165.30	$454.49