Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $181.22 / $181.23 / $244.66	Facility	26	$181.22	$181.23	$244.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.04 / $216.84 / $238.03	Professional		$110.04	$216.84	$238.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.54 / $106.16 / $190.29	Professional	26	$88.54	$106.16	$190.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.50 / $45.47 / $88.89	Professional	TC	$21.50	$45.47	$88.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.63 / $111.63 / $156.85	Professional		$111.63	$111.63	$156.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $78.81 / $83.84 / $133.15	Professional	26	$78.81	$83.84	$133.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.76 / $262.68 / $309.95	Professional		$191.76	$262.68	$309.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $149.75 / $205.14 / $242.07	Professional	26	$149.75	$205.14	$242.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.00 / $57.54 / $67.90	Professional	TC	$42.00	$57.54	$67.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.06 / $115.06 / $115.06	Facility	26	$115.06	$115.06	$115.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.80 / $193.83 / $502.90	Professional		$132.80	$193.83	$502.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.82 / $132.28 / $356.32	Professional	26	$100.82	$132.28	$356.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.98 / $52.42 / $265.63	Professional	TC	$31.98	$52.42	$265.63
United Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $141.47 / $442.74	Professional		$105.06	$141.47	$442.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.88 / $107.96 / $135.37	Professional	26	$80.88	$107.96	$135.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.78 / $28.58 / $318.97	Professional	TC	$20.78	$28.58	$318.97