Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $85.11 / $85.11	Facility	26	$48.98	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $234.42	Professional		$67.61	$107.15	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $63.10 / $144.54	Professional	26	$37.15	$63.10	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $47.86 / $97.72	Professional	TC	$26.92	$47.86	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $77.62	Professional		$72.44	$72.44	$77.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Professional	26	$40.74	$40.74	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $234.42	Professional		$144.54	$194.98	$234.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $107.15 / $125.89	Professional	26	$58.88	$107.15	$125.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $89.13 / $104.71	Professional	TC	$47.86	$89.13	$104.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	26	$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $239.88	Professional		$87.10	$112.20	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $58.88 / $102.33	Professional	26	$50.12	$58.88	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $50.12 / $134.90	Professional	TC	$40.74	$50.12	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $190.55	Professional		$72.44	$102.33	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $52.48 / $70.79	Professional	26	$38.02	$52.48	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $48.98 / $128.82	Professional	TC	$33.11	$48.98	$128.82