Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.32 / $124.32 / $167.83	Facility	26	$124.32	$124.32	$167.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $425.00 / $498.74	Professional		$275.00	$425.00	$498.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $124.32 / $143.55	Professional	26	$68.75	$124.32	$143.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $308.81 / $350.43	Professional	TC	$206.25	$308.81	$350.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $59.90 / $59.90 / $75.03	Professional	26	$59.90	$59.90	$75.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.06 / $176.40 / $378.45	Professional		$117.06	$176.40	$378.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.24 / $85.26 / $100.61	Professional	26	$62.24	$85.26	$100.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.94 / $129.50 / $277.83	Professional	TC	$85.94	$129.50	$277.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.39 / $499.02 / $917.40	Professional		$226.39	$499.02	$917.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.73 / $116.43 / $242.12	Professional	26	$65.73	$116.43	$242.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $156.97 / $372.44 / $770.85	Professional	TC	$156.97	$372.44	$770.85
United Facility/Professional Professional Modifier Low / Median / High Price $242.87 / $335.62 / $794.30	Professional		$242.87	$335.62	$794.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.59 / $85.26 / $118.40	Professional	26	$66.59	$85.26	$118.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $174.51 / $241.63 / $691.37	Professional	TC	$174.51	$241.63	$691.37