Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $102.33 / $102.33	Facility	26	$56.23	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $446.68	Professional		$91.20	$162.18	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $144.54 / $870.96	Professional	26	$56.23	$144.54	$870.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $70.79 / $147.91	Professional	TC	$46.77	$70.79	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $97.72 / $147.91	Professional		$95.50	$97.72	$147.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $58.88 / $85.11	Professional	26	$47.86	$58.88	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $257.04	Professional		$151.36	$218.78	$257.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $138.04 / $165.96	Professional	26	$97.72	$138.04	$165.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $79.43 / $93.33	Professional	TC	$54.95	$79.43	$93.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	26	$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $323.59	Professional		$114.82	$173.78	$323.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $75.86 / $141.25	Professional	26	$61.66	$75.86	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $97.72 / $173.78	Professional	TC	$61.66	$97.72	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $218.78	Professional		$100.00	$138.04	$218.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $63.10 / $85.11	Professional	26	$45.71	$63.10	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $74.13 / $134.90	Professional	TC	$51.29	$74.13	$134.90