Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $97.72 / $97.72	Facility	26	$64.57	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $363.08	Professional		$128.82	$177.83	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $87.10 / $190.55	Professional	26	$54.95	$87.10	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $104.71 / $239.88	Professional	TC	$64.57	$104.71	$239.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $85.11 / $109.65	Professional	26	$51.29	$85.11	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $331.13	Professional		$194.98	$281.84	$331.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $112.20 / $131.83	Professional	26	$77.62	$112.20	$131.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $165.96 / $199.53	Professional	TC	$117.49	$165.96	$199.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $389.05	Professional		$123.03	$208.93	$389.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $79.43 / $177.83	Professional	26	$52.48	$79.43	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $97.72 / $281.84	Professional	TC	$60.26	$97.72	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $331.13	Professional		$107.15	$154.88	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $69.18 / $91.20	Professional	26	$45.71	$69.18	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $77.62 / $239.88	Professional	TC	$54.95	$77.62	$239.88