Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $85.11 / $85.11	Facility	26	$72.44	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $501.19	Professional		$173.78	$275.42	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $83.18 / $177.83	Professional	26	$52.48	$83.18	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $199.53 / $371.54	Professional	TC	$120.23	$199.53	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $177.83	Professional		$173.78	$173.78	$177.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $61.66 / $97.72	Professional	26	$43.65	$61.66	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $363.08 / $426.58	Professional		$131.83	$363.08	$426.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $134.90 / $173.78	Professional	26	$95.50	$134.90	$173.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $223.87 / $263.03	Professional	TC	$81.28	$223.87	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $645.65	Professional		$194.98	$346.74	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $93.33 / $173.78	Professional	26	$61.66	$93.33	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $251.19 / $489.78	Professional	TC	$147.91	$251.19	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $537.03	Professional		$177.83	$257.04	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $67.61 / $100.00	Professional	26	$51.29	$67.61	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $177.83 / $446.68	Professional	TC	$123.03	$177.83	$446.68