Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.70 / $127.89 / $127.89	Facility	26	$77.70	$127.89	$127.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $425.00 / $498.82	Professional		$275.00	$425.00	$498.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $127.89 / $144.09	Professional	26	$68.75	$127.89	$144.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $306.26 / $340.00	Professional	TC	$206.25	$306.26	$340.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.17 / $62.17 / $77.97	Professional	26	$62.17	$62.17	$77.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.48 / $261.39 / $560.83	Professional		$173.48	$261.39	$560.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $113.46 / $155.41 / $183.40	Professional	26	$113.46	$155.41	$183.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $116.75 / $175.92 / $377.43	Professional	TC	$116.75	$175.92	$377.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.97 / $475.00 / $934.38	Professional		$226.97	$475.00	$934.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.40 / $120.43 / $249.70	Professional	26	$68.40	$120.43	$249.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $156.44 / $332.50 / $778.36	Professional	TC	$156.44	$332.50	$778.36
United Facility/Professional Professional Modifier Low / Median / High Price $236.57 / $315.50 / $805.58	Professional		$236.57	$315.50	$805.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.91 / $87.71 / $121.79	Professional	26	$69.91	$87.71	$121.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $172.56 / $224.11 / $699.35	Professional	TC	$172.56	$224.11	$699.35