Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.02 / $116.62 / $157.44	Facility	26	$83.02	$116.62	$157.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $256.72 / $328.00	Professional		$171.00	$256.72	$328.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $98.00 / $126.36	Professional	26	$55.00	$98.00	$126.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.04 / $140.09 / $220.00	Professional	TC	$114.04	$140.09	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.54 / $130.84 / $162.11	Professional		$122.54	$130.84	$162.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.38 / $64.29 / $100.01	Professional	26	$60.38	$64.29	$100.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $134.29 / $288.11	Professional		$89.12	$134.29	$288.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $103.81 / $142.21 / $167.81	Professional	26	$103.81	$142.21	$167.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.22 / $56.08 / $120.30	Professional	TC	$37.22	$56.08	$120.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.12 / $239.26 / $405.11	Professional		$138.12	$239.26	$405.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.19 / $109.85 / $238.47	Professional	26	$62.19	$109.85	$238.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.76 / $143.13 / $302.14	Professional	TC	$79.76	$143.13	$302.14
United Facility/Professional Professional Modifier Low / Median / High Price $152.38 / $192.06 / $307.85	Professional		$152.38	$192.06	$307.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.86 / $85.63 / $123.41	Professional	26	$66.86	$85.63	$123.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.53 / $104.92 / $182.35	Professional	TC	$85.53	$104.92	$182.35