Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.87 / $81.87 / $81.88	Facility	26	$81.87	$81.87	$81.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $311.88 / $351.36	Professional		$171.00	$311.88	$351.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $61.66 / $88.65	Professional	26	$51.30	$61.66	$88.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $230.00 / $290.93	Professional	TC	$119.70	$230.00	$290.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $188.20 / $188.20 / $188.20	Professional		$188.20	$188.20	$188.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.21 / $42.21 / $63.40	Professional	26	$42.21	$42.21	$63.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.74 / $186.45 / $400.02	Professional		$123.74	$186.45	$400.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.29 / $131.90 / $155.63	Professional	26	$96.29	$131.90	$155.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.59 / $113.91 / $244.38	Professional	TC	$75.59	$113.91	$244.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.81 / $350.00 / $708.47	Professional		$199.81	$350.00	$708.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.26 / $78.42 / $170.02	Professional	26	$46.26	$78.42	$170.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $153.55 / $259.56 / $566.25	Professional	TC	$153.55	$259.56	$566.25
United Facility/Professional Professional Modifier Low / Median / High Price $207.34 / $276.45 / $519.82	Professional		$207.34	$276.45	$519.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.83 / $60.00 / $84.00	Professional	26	$46.83	$60.00	$84.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $159.51 / $214.01 / $447.91	Professional	TC	$159.51	$214.01	$447.91