Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.47 / $81.87 / $81.88	Facility	26	$52.47	$81.87	$81.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $272.17 / $350.87	Professional		$171.00	$272.17	$350.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $68.78 / $88.18	Professional	26	$51.30	$68.78	$88.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $190.29 / $298.10	Professional	TC	$119.70	$190.29	$298.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.60 / $132.60 / $147.34	Professional		$132.60	$132.60	$147.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.61 / $41.98 / $52.56	Professional	26	$41.61	$41.98	$52.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $138.78 / $297.73	Professional		$92.10	$138.78	$297.73
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.57 / $59.68 / $70.42	Professional	26	$43.57	$59.68	$70.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.31 / $105.95 / $227.30	Professional	TC	$70.31	$105.95	$227.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $347.59 / $630.90	Professional		$156.16	$347.59	$630.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.38 / $73.81 / $168.59	Professional	26	$43.38	$73.81	$168.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $110.16 / $270.93 / $529.59	Professional	TC	$110.16	$270.93	$529.59
United Facility/Professional Professional Modifier Low / Median / High Price $189.40 / $260.43 / $507.13	Professional		$189.40	$260.43	$507.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.55 / $59.68 / $85.80	Professional	26	$46.55	$59.68	$85.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.44 / $184.76 / $434.74	Professional	TC	$134.44	$184.76	$434.74