Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $81.28 / $81.28	Facility	26	$53.70	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $436.52	Professional		$169.82	$263.03	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $81.28 / $165.96	Professional	26	$51.29	$81.28	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $173.78 / $316.23	Professional	TC	$114.82	$173.78	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $69.18 / $91.20	Professional	26	$42.66	$69.18	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $295.12 / $346.74	Professional		$107.15	$295.12	$346.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $117.49 / $151.36	Professional	26	$83.18	$117.49	$151.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $177.83 / $208.93	Professional	TC	$64.57	$177.83	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $537.03	Professional		$169.82	$302.00	$537.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $83.18 / $169.82	Professional	26	$54.95	$83.18	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $213.80 / $416.87	Professional	TC	$123.03	$213.80	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $436.52	Professional		$154.88	$218.78	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $60.26 / $89.13	Professional	26	$45.71	$60.26	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $144.54 / $354.81	Professional	TC	$102.33	$144.54	$354.81