Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $77.62	Facility	26	$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $229.09 / $446.68	Professional		$114.82	$229.09	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $91.20 / $177.83	Professional	26	$51.29	$91.20	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $204.17 / $380.19	Professional	TC	$131.83	$204.17	$380.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $61.66 / $77.62	Professional	26	$39.81	$61.66	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $295.12 / $354.81	Professional		$109.65	$295.12	$354.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $83.18 / $97.72	Professional	26	$57.54	$83.18	$97.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $213.80 / $257.04	Professional	TC	$79.43	$213.80	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $562.34	Professional		$194.98	$295.12	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $81.28 / $162.18	Professional	26	$52.48	$81.28	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $218.78 / $457.09	Professional	TC	$144.54	$218.78	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $398.11	Professional		$169.82	$223.87	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $57.54 / $85.11	Professional	26	$43.65	$57.54	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $169.82 / $331.13	Professional	TC	$123.03	$169.82	$331.13