Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.07 / $120.07 / $120.07	Facility	26	$120.07	$120.07	$120.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $350.51 / $388.27	Professional		$171.00	$350.51	$388.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $91.56 / $126.07	Professional	26	$51.30	$91.56	$126.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $230.44 / $309.93	Professional	TC	$119.70	$230.44	$309.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $78.12 / $78.12 / $78.12	Professional	26	$78.12	$78.12	$78.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.26 / $169.16 / $362.91	Professional		$112.26	$169.16	$362.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.34 / $88.15 / $104.02	Professional	26	$64.34	$88.15	$104.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $80.08 / $120.67 / $258.89	Professional	TC	$80.08	$120.67	$258.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.55 / $434.73 / $889.17	Professional		$243.55	$434.73	$889.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.19 / $107.39 / $218.31	Professional	26	$64.19	$107.39	$218.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $175.11 / $311.25 / $608.53	Professional	TC	$175.11	$311.25	$608.53
United Facility/Professional Professional Modifier Low / Median / High Price $245.77 / $327.69 / $655.30	Professional		$245.77	$327.69	$655.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $88.15 / $124.20	Professional	26	$68.75	$88.15	$124.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.02 / $236.02 / $533.89	Professional	TC	$177.02	$236.02	$533.89