Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.95 / $104.95 / $141.69	Facility	26	$104.95	$104.95	$141.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $326.64 / $475.00	Professional		$275.00	$326.64	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $104.96 / $141.00	Professional	26	$68.75	$104.96	$141.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $191.06 / $208.45 / $340.00	Professional	TC	$191.06	$208.45	$340.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.40 / $138.06 / $357.23	Professional		$133.40	$138.06	$357.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.52 / $63.30 / $83.66	Professional	26	$50.52	$63.30	$83.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.47 / $237.30 / $509.11	Professional		$157.47	$237.30	$509.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $115.23 / $157.85 / $186.26	Professional	26	$115.23	$157.85	$186.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $99.86 / $150.47 / $322.85	Professional	TC	$99.86	$150.47	$322.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.63 / $400.00 / $751.08	Professional		$165.63	$400.00	$751.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.45 / $98.83 / $203.38	Professional	26	$55.45	$98.83	$203.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $106.89 / $304.55 / $627.88	Professional	TC	$106.89	$304.55	$627.88
United Facility/Professional Professional Modifier Low / Median / High Price $171.61 / $250.40 / $651.89	Professional		$171.61	$250.40	$651.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.30 / $72.06 / $99.56	Professional	26	$56.30	$72.06	$99.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $118.38 / $162.61 / $564.94	Professional	TC	$118.38	$162.61	$564.94