Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.16 / $132.72 / $199.08	Facility	26	$120.16	$132.72	$199.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.16 / $395.92 / $475.00	Professional		$198.16	$395.92	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.17 / $132.72 / $140.00	Professional	26	$65.17	$132.72	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $132.97 / $263.20 / $335.00	Professional	TC	$132.97	$263.20	$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 $237.56 / $314.42 / $349.35	Professional		$237.56	$314.42	$349.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.63 / $105.40 / $117.11	Professional	26	$79.63	$105.40	$117.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $157.91 / $209.02 / $232.24	Professional	TC	$157.91	$209.02	$232.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.84 / $330.29 / $482.51	Professional		$214.84	$330.29	$482.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.31 / $109.14 / $162.68	Professional	26	$72.31	$109.14	$162.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $145.13 / $221.16 / $319.31	Professional	TC	$145.13	$221.16	$319.31
United Facility/Professional Professional Modifier Low / Median / High Price $237.86 / $427.30 / $1,075.25	Professional		$237.86	$427.30	$1,075.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.06 / $93.05 / $149.69	Professional	26	$74.06	$93.05	$149.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $159.69 / $281.04 / $877.14	Professional	TC	$159.69	$281.04	$877.14