Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $102.33 / $102.33	Facility	26	$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $549.54	Professional		$177.83	$263.03	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $107.15 / $323.59	Professional	26	$64.57	$107.15	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $169.82 / $338.84	Professional	TC	$114.82	$169.82	$338.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $67.61 / $67.61	Professional	26	$67.61	$67.61	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $234.42 / $281.84	Professional		$87.10	$234.42	$281.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $79.43 / $100.00	Professional	26	$54.95	$79.43	$100.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $158.49 / $186.21	Professional	TC	$57.54	$158.49	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $602.56	Professional		$223.87	$354.81	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $100.00 / $199.53	Professional	26	$69.18	$100.00	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $204.17 / $407.38	Professional	TC	$141.25	$204.17	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $1,122.02	Professional		$194.98	$281.84	$1,122.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $79.43 / $125.89	Professional	26	$60.26	$79.43	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $190.55 / $1,023.29	Professional	TC	$134.90	$190.55	$1,023.29