Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.32 / $124.32 / $124.32	Facility	26	$124.32	$124.32	$124.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $457.40 / $522.50	Professional		$275.00	$457.40	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $124.32 / $143.55	Professional	26	$68.75	$124.32	$143.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $335.00 / $382.25	Professional	TC	$206.25	$335.00	$382.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.03 / $75.03 / $75.03	Professional	26	$75.03	$75.03	$75.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.76 / $194.02 / $416.26	Professional		$128.76	$194.02	$416.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.24 / $85.26 / $100.61	Professional	26	$62.24	$85.26	$100.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.64 / $147.13 / $315.64	Professional	TC	$97.64	$147.13	$315.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.57 / $527.17 / $992.62	Professional		$254.57	$527.17	$992.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.73 / $116.43 / $192.60	Professional	26	$65.73	$116.43	$192.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $185.17 / $406.00 / $846.08	Professional	TC	$185.17	$406.00	$846.08
United Facility/Professional Professional Modifier Low / Median / High Price $275.11 / $388.61 / $839.41	Professional		$275.11	$388.61	$839.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.59 / $85.26 / $119.37	Professional	26	$66.59	$85.26	$119.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.90 / $276.75 / $736.48	Professional	TC	$213.90	$276.75	$736.48