Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.87 / $81.87 / $81.88	Facility	26	$81.87	$81.87	$81.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $247.73 / $331.85	Professional		$171.00	$247.73	$331.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.75 / $68.78 / $98.00	Professional	26	$52.75	$68.78	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $161.75 / $229.28	Professional	TC	$119.70	$161.75	$229.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.31 / $115.31 / $115.31	Professional		$115.31	$115.31	$115.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.77 / $47.39 / $69.91	Professional	26	$38.77	$47.39	$69.91
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 $142.54 / $281.87 / $505.75	Professional		$142.54	$281.87	$505.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.26 / $77.23 / $170.02	Professional	26	$46.26	$77.23	$170.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.47 / $204.80 / $402.36	Professional	TC	$93.47	$204.80	$402.36
United Facility/Professional Professional Modifier Low / Median / High Price $159.08 / $210.20 / $436.28	Professional		$159.08	$210.20	$436.28
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 $105.03 / $144.27 / $360.96	Professional	TC	$105.03	$144.27	$360.96