Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.67 / $85.67 / $85.67	Facility	26	$85.67	$85.67	$85.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $276.39 / $342.37	Professional		$171.00	$276.39	$342.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $71.88 / $92.11	Professional	26	$51.30	$71.88	$92.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $190.73 / $287.81	Professional	TC	$119.70	$190.73	$287.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $71.68 / $71.68 / $71.68	Professional	26	$71.68	$71.68	$71.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.40 / $198.00 / $424.80	Professional		$131.40	$198.00	$424.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.59 / $89.85 / $106.02	Professional	26	$65.59	$89.85	$106.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $98.61 / $148.59 / $318.77	Professional	TC	$98.61	$148.59	$318.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.48 / $335.95 / $615.10	Professional		$166.48	$335.95	$615.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.15 / $81.50 / $155.19	Professional	26	$48.15	$81.50	$155.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $115.48 / $256.14 / $507.43	Professional	TC	$115.48	$256.14	$507.43
United Facility/Professional Professional Modifier Low / Median / High Price $179.24 / $245.42 / $530.63	Professional		$179.24	$245.42	$530.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.45 / $62.12 / $89.62	Professional	26	$48.45	$62.12	$89.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $129.50 / $168.18 / $454.96	Professional	TC	$129.50	$168.18	$454.96