Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.09 / $66.09 / $89.22	Facility	26	$66.09	$66.09	$89.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $138.86 / $211.84	Professional		$109.45	$138.86	$211.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $46.49 / $69.39	Professional	26	$29.91	$46.49	$69.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.76 / $93.58 / $142.44	Professional	TC	$78.76	$93.58	$142.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.83 / $35.83 / $53.80	Professional	26	$35.83	$35.83	$53.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.95 / $169.79 / $200.35	Professional		$123.95	$169.79	$200.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.22 / $51.00 / $60.18	Professional	26	$37.22	$51.00	$60.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $86.72 / $118.79 / $140.16	Professional	TC	$86.72	$118.79	$140.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.43 / $38.43 / $38.77	Facility	26	$38.43	$38.43	$38.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.42 / $160.01 / $372.40	Professional		$114.42	$160.01	$372.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.29 / $45.16 / $115.46	Professional	26	$33.29	$45.16	$115.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.76 / $132.07 / $252.01	Professional	TC	$79.76	$132.07	$252.01
United Facility/Professional Professional Modifier Low / Median / High Price $109.64 / $143.02 / $187.96	Professional		$109.64	$143.02	$187.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.23 / $47.37 / $61.20	Professional	26	$29.23	$47.37	$61.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.61 / $98.40 / $126.24	Professional	TC	$75.61	$98.40	$126.24