Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.50 / $84.54 / $84.55	Facility	26	$49.50	$84.54	$84.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.72 / $107.50 / $153.02	Professional		$73.72	$107.50	$153.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.96 / $47.77 / $84.55	Professional	26	$40.96	$47.77	$84.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.40 / $62.18 / $68.45	Professional	TC	$32.40	$62.18	$68.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $74.92 / $74.92	Professional		$71.73	$74.92	$74.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.90 / $209.85 / $232.11	Professional		$146.90	$209.85	$232.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.66 / $107.76 / $127.16	Professional	26	$78.66	$107.76	$127.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.93 / $88.94 / $104.95	Professional	TC	$64.93	$88.94	$104.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.20 / $52.20 / $52.20	Facility	26	$52.20	$52.20	$52.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.11 / $113.19 / $295.20	Professional		$87.11	$113.19	$295.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.26 / $60.86 / $162.38	Professional	26	$47.26	$60.86	$162.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.85 / $49.69 / $140.97	Professional	TC	$39.85	$49.69	$140.97
United Facility/Professional Professional Modifier Low / Median / High Price $72.54 / $98.59 / $189.41	Professional		$72.54	$98.59	$189.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.21 / $50.60 / $62.65	Professional	26	$38.21	$50.60	$62.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.29 / $48.83 / $133.01	Professional	TC	$33.29	$48.83	$133.01