Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	26	$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $371.54	Professional		$169.82	$275.42	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $64.57 / $125.89	Professional	26	$51.29	$64.57	$125.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $190.55 / $281.84	Professional	TC	$120.23	$190.55	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $426.58	Professional		$251.19	$363.08	$426.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $109.65 / $128.82	Professional	26	$77.62	$109.65	$128.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $251.19 / $295.12	Professional	TC	$173.78	$251.19	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $724.44	Professional		$169.82	$269.15	$724.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $72.44 / $169.82	Professional	26	$48.98	$72.44	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $190.55 / $645.65	Professional	TC	$123.03	$190.55	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $707.95	Professional		$177.83	$263.03	$707.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $64.57 / $87.10	Professional	26	$46.77	$64.57	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $190.55 / $630.96	Professional	TC	$125.89	$190.55	$630.96