Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.05 / $43.05 / $43.05	Facility	26	$43.05	$43.05	$43.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.22 / $128.07 / $185.05	Professional		$91.22	$128.07	$185.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.41 / $31.74 / $45.20	Professional	26	$21.41	$31.74	$45.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.56 / $94.94 / $139.84	Professional	TC	$70.56	$94.94	$139.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $150.03 / $207.19	Professional		$134.47	$150.03	$207.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.77 / $26.52 / $36.61	Professional	26	$23.77	$26.52	$36.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.05 / $248.64 / $293.39	Professional		$174.05	$248.64	$293.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.80 / $74.00 / $87.32	Professional	26	$51.80	$74.00	$87.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $127.02 / $174.00 / $205.32	Professional	TC	$127.02	$174.00	$205.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.35 / $39.35 / $39.35	Facility	26	$39.35	$39.35	$39.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.21 / $139.88 / $296.58	Professional		$84.21	$139.88	$296.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.17 / $42.77 / $111.79	Professional	26	$26.17	$42.77	$111.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.45 / $105.74 / $227.59	Professional	TC	$61.45	$105.74	$227.59
United Facility/Professional Professional Modifier Low / Median / High Price $103.92 / $143.88 / $189.93	Professional		$103.92	$143.88	$189.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.72 / $33.03 / $46.34	Professional	26	$25.72	$33.03	$46.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.50 / $111.59 / $141.91	Professional	TC	$70.50	$111.59	$141.91