Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $81.28 / $81.28	Facility	26	$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $398.11	Professional		$138.04	$223.87	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $93.33 / $162.18	Professional	26	$52.48	$93.33	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $123.03 / $281.84	Professional	TC	$81.28	$123.03	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $107.15 / $123.03	Professional		$97.72	$107.15	$123.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $67.61 / $91.20	Professional	26	$41.69	$67.61	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $251.19 / $295.12	Professional		$91.20	$251.19	$295.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $100.00 / $117.49	Professional	26	$66.07	$100.00	$117.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $151.36 / $177.83	Professional	TC	$54.95	$151.36	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $426.58	Professional		$134.90	$245.47	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $74.13 / $151.36	Professional	26	$54.95	$74.13	$151.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $169.82 / $269.15	Professional	TC	$81.28	$169.82	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $354.81	Professional		$114.82	$165.96	$354.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $58.88 / $87.10	Professional	26	$44.67	$58.88	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $95.50 / $263.03	Professional	TC	$67.61	$95.50	$263.03