Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.14 / $70.14 / $70.14	Facility	26	$70.14	$70.14	$70.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.31 / $216.19 / $270.13	Professional		$167.31	$216.19	$270.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.49 / $49.36 / $70.14	Professional	26	$40.49	$49.36	$70.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $126.81 / $166.97 / $199.99	Professional	TC	$126.81	$166.97	$199.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.16 / $75.16 / $135.28	Professional		$75.16	$75.16	$135.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.85 / $63.27 / $93.41	Professional	26	$47.85	$63.27	$93.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.25 / $117.91 / $252.96	Professional		$78.25	$117.91	$252.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.97 / $54.77 / $64.63	Professional	26	$39.97	$54.77	$64.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.25 / $87.78 / $188.33	Professional	TC	$58.25	$87.78	$188.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.35 / $279.20 / $600.00	Professional		$159.35	$279.20	$600.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.47 / $66.51 / $108.08	Professional	26	$39.47	$66.51	$108.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.43 / $196.69 / $328.61	Professional	TC	$117.43	$196.69	$328.61
United Facility/Professional Professional Modifier Low / Median / High Price $177.02 / $213.84 / $321.87	Professional		$177.02	$213.84	$321.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.77 / $54.77 / $76.68	Professional	26	$42.77	$54.77	$76.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.25 / $166.48 / $241.58	Professional	TC	$134.25	$166.48	$241.58