Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.59 / $77.59 / $104.74	Facility	26	$77.59	$77.59	$104.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $299.39 / $328.00	Professional		$171.00	$299.39	$328.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $58.92 / $98.00	Professional	26	$50.07	$58.92	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $221.08 / $255.84	Professional	TC	$119.70	$221.08	$255.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.60 / $170.60 / $413.89	Professional		$170.60	$170.60	$413.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.21 / $40.94 / $66.59	Professional	26	$40.21	$40.94	$66.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.40 / $158.83 / $340.75	Professional		$105.40	$158.83	$340.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.22 / $114.00 / $134.52	Professional	26	$83.22	$114.00	$134.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.79 / $96.13 / $206.23	Professional	TC	$63.79	$96.13	$206.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.01 / $291.64 / $590.50	Professional		$181.01	$291.64	$590.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.09 / $73.45 / $162.03	Professional	26	$44.09	$73.45	$162.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $136.91 / $210.38 / $453.85	Professional	TC	$136.91	$210.38	$453.85
United Facility/Professional Professional Modifier Low / Median / High Price $184.33 / $244.60 / $417.81	Professional		$184.33	$244.60	$417.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.04 / $56.94 / $82.23	Professional	26	$45.04	$56.94	$82.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.19 / $179.51 / $345.45	Professional	TC	$136.19	$179.51	$345.45