Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.42 / $48.43 / $65.38	Facility	26	$48.42	$48.43	$65.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.84 / $137.34 / $190.34	Professional		$98.84	$137.34	$190.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.29 / $34.04 / $48.43	Professional	26	$24.29	$34.04	$48.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.08 / $104.76 / $141.91	Professional	TC	$75.08	$104.76	$141.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.62 / $43.62 / $64.52	Professional	26	$43.62	$43.62	$64.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.85 / $187.46 / $221.20	Professional		$136.85	$187.46	$221.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.51 / $79.30 / $93.57	Professional	26	$55.51	$79.30	$93.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $78.95 / $108.16 / $127.63	Professional	TC	$78.95	$108.16	$127.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.05 / $42.05 / $42.05	Facility	26	$42.05	$42.05	$42.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $164.02 / $411.29	Professional		$113.69	$164.02	$411.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.71 / $42.49 / $105.25	Professional	26	$28.71	$42.49	$105.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.98 / $121.56 / $304.35	Professional	TC	$84.98	$121.56	$304.35
United Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $143.24 / $190.99	Professional		$106.75	$143.24	$190.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $35.90 / $50.19	Professional	26	$29.51	$35.90	$50.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.28 / $106.38 / $142.09	Professional	TC	$80.28	$106.38	$142.09