Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.32 / $121.00 / $163.35	Facility	26	$101.32	$121.00	$163.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $351.44 / $392.47	Professional		$171.00	$351.44	$392.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $98.00 / $127.05	Professional	26	$51.30	$98.00	$127.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $230.44 / $310.24	Professional	TC	$119.70	$230.44	$310.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.98 / $63.19 / $94.79	Professional	26	$62.98	$63.19	$94.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.87 / $240.90 / $516.84	Professional		$159.87	$240.90	$516.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.63 / $131.00 / $154.58	Professional	26	$95.63	$131.00	$154.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.06 / $168.85 / $362.26	Professional	TC	$112.06	$168.85	$362.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.61 / $437.00 / $890.96	Professional		$244.61	$437.00	$890.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.93 / $108.87 / $220.82	Professional	26	$64.93	$108.87	$220.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $175.37 / $312.14 / $623.13	Professional	TC	$175.37	$312.14	$623.13
United Facility/Professional Professional Modifier Low / Median / High Price $252.01 / $358.24 / $645.75	Professional		$252.01	$358.24	$645.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.89 / $89.15 / $128.02	Professional	26	$69.89	$89.15	$128.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $176.75 / $259.23 / $522.96	Professional	TC	$176.75	$259.23	$522.96