Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	26	$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $426.58	Professional		$173.78	$275.42	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $70.79 / $141.25	Professional	26	$51.29	$70.79	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $190.55 / $323.59	Professional	TC	$123.03	$190.55	$323.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $56.23 / $70.79	Professional	26	$44.67	$56.23	$70.79
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 $63.10 / $89.13 / $114.82	Professional	26	$63.10	$89.13	$114.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $269.15 / $316.23	Professional	TC	$97.72	$269.15	$316.23
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 $58.88 / $87.10 / $158.49	Professional	26	$58.88	$87.10	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $269.15 / $524.81	Professional	TC	$151.36	$269.15	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $524.81	Professional		$177.83	$257.04	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $63.10 / $93.33	Professional	26	$46.77	$63.10	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $181.97 / $446.68	Professional	TC	$128.82	$181.97	$446.68