Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.84 / $137.47 / $137.47	Facility	26	$101.84	$137.47	$137.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.54 / $294.36 / $475.00	Professional		$179.54	$294.36	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.38 / $101.84 / $140.00	Professional	26	$58.38	$101.84	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $121.16 / $192.53 / $335.00	Professional	TC	$121.16	$192.53	$335.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.58 / $55.58 / $55.58	Professional	26	$55.58	$55.58	$55.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.21 / $129.90 / $278.68	Professional		$86.21	$129.90	$278.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.46 / $78.70 / $92.88	Professional	26	$57.46	$78.70	$92.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.47 / $86.60 / $185.80	Professional	TC	$57.47	$86.60	$185.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.41 / $286.26 / $470.16	Professional		$172.41	$286.26	$470.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.13 / $95.89 / $155.97	Professional	26	$57.13	$95.89	$155.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.32 / $190.88 / $318.91	Professional	TC	$114.32	$190.88	$318.91
United Facility/Professional Professional Modifier Low / Median / High Price $196.74 / $279.56 / $1,211.19	Professional		$196.74	$279.56	$1,211.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.44 / $78.70 / $108.66	Professional	26	$61.44	$78.70	$108.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $133.66 / $173.59 / $1,076.77	Professional	TC	$133.66	$173.59	$1,076.77