Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.50 / $98.73 / $133.28	Facility	26	$63.50	$98.73	$133.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.21 / $193.88 / $275.00	Professional		$147.21	$193.88	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $83.09 / $103.66	Professional	26	$51.30	$83.09	$103.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.71 / $97.59 / $220.00	Professional	TC	$88.71	$97.59	$220.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.80 / $76.48 / $84.14	Professional	26	$50.80	$76.48	$84.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.95 / $279.38 / $329.67	Professional		$203.95	$279.38	$329.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.40 / $111.50 / $131.57	Professional	26	$81.40	$111.50	$131.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $122.55 / $167.88 / $198.10	Professional	TC	$122.55	$167.88	$198.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.70 / $64.70 / $64.70	Facility	26	$64.70	$64.70	$64.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.33 / $173.51 / $394.59	Professional		$112.33	$173.51	$394.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.52 / $71.88 / $179.33	Professional	26	$54.52	$71.88	$179.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.80 / $89.92 / $281.55	Professional	TC	$56.80	$89.92	$281.55
United Facility/Professional Professional Modifier Low / Median / High Price $112.23 / $148.77 / $289.10	Professional		$112.23	$148.77	$289.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.04 / $70.56 / $90.70	Professional	26	$45.04	$70.56	$90.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.04 / $75.36 / $213.16	Professional	TC	$55.04	$75.36	$213.16