Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.31 / $82.32 / $82.32	Facility	26	$82.31	$82.32	$82.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $237.68 / $325.00	Professional		$171.00	$237.68	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $62.00 / $88.65	Professional	26	$51.30	$62.00	$88.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $155.36 / $229.91	Professional	TC	$119.70	$155.36	$229.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.03 / $43.15 / $70.16	Professional	26	$39.03	$43.15	$70.16
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 $136.41 / $282.69 / $534.13	Professional		$136.41	$282.69	$534.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.76 / $74.09 / $170.77	Professional	26	$43.76	$74.09	$170.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.89 / $205.62 / $426.56	Professional	TC	$89.89	$205.62	$426.56
United Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $219.16 / $433.81	Professional		$159.94	$219.16	$433.81
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 $103.13 / $137.50 / $361.43	Professional	TC	$103.13	$137.50	$361.43