Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $123.03 / $123.03	Facility	26	$70.79	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $323.59	Professional		$128.82	$169.82	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $93.33 / $190.55	Professional	26	$57.54	$93.33	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $79.43 / $208.93	Professional	TC	$54.95	$79.43	$208.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $74.13 / $83.18	Professional	26	$72.44	$74.13	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $457.09	Professional		$251.19	$354.81	$457.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $114.82 / $147.91	Professional	26	$81.28	$114.82	$147.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $239.88 / $309.03	Professional	TC	$169.82	$239.88	$309.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $74.13 / $74.13	Facility	26	$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $524.81	Professional		$131.83	$229.09	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $95.50 / $229.09	Professional	26	$61.66	$95.50	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $165.96 / $457.09	Professional	TC	$69.18	$165.96	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $524.81	Professional		$138.04	$194.98	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $87.10 / $117.49	Professional	26	$56.23	$87.10	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $87.10 / $426.58	Professional	TC	$61.66	$87.10	$426.58