Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.16 / $104.16 / $104.16	Facility	26	$77.16	$104.16	$104.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $275.00 / $335.06	Professional		$171.00	$275.00	$335.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $64.97 / $98.00	Professional	26	$50.07	$64.97	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $213.99 / $275.13	Professional	TC	$119.70	$213.99	$275.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.21 / $50.34 / $66.59	Professional	26	$40.21	$50.34	$66.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.88 / $164.07 / $351.99	Professional		$108.88	$164.07	$351.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.23 / $82.50 / $97.35	Professional	26	$60.23	$82.50	$97.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $78.77 / $118.69 / $254.64	Professional	TC	$78.77	$118.69	$254.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.71 / $286.94 / $566.41	Professional		$159.71	$286.94	$566.41
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 $116.74 / $206.95 / $436.90	Professional	TC	$116.74	$206.95	$436.90
United Facility/Professional Professional Modifier Low / Median / High Price $169.44 / $218.05 / $398.56	Professional		$169.44	$218.05	$398.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.39 / $56.94 / $82.23	Professional	26	$44.39	$56.94	$82.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.05 / $166.73 / $329.94	Professional	TC	$125.05	$166.73	$329.94