Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.87 / $81.88 / $110.53	Facility	26	$81.87	$81.88	$110.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $235.94 / $325.00	Professional		$171.00	$235.94	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $61.66 / $88.65	Professional	26	$51.30	$61.66	$88.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $154.05 / $229.59	Professional	TC	$119.70	$154.05	$229.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.77 / $42.21 / $63.40	Professional	26	$38.77	$42.21	$63.40
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 $135.11 / $282.69 / $534.13	Professional		$135.11	$282.69	$534.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.62 / $74.09 / $170.20	Professional	26	$43.62	$74.09	$170.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.85 / $205.62 / $426.56	Professional	TC	$88.85	$205.62	$426.56
United Facility/Professional Professional Modifier Low / Median / High Price $152.84 / $215.31 / $433.34	Professional		$152.84	$215.31	$433.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.83 / $60.00 / $86.26	Professional	26	$46.83	$60.00	$86.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.76 / $134.10 / $338.36	Professional	TC	$104.76	$134.10	$338.36