Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.32 / $31.26 / $31.27	Facility	26	$21.32	$31.26	$31.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.09 / $258.89 / $282.74	Professional		$193.09	$258.89	$282.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.60 / $23.33 / $31.27	Professional	26	$20.60	$23.33	$31.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $171.05 / $235.56 / $251.47	Professional	TC	$171.05	$235.56	$251.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.05 / $17.05 / $28.25	Professional	26	$17.05	$17.05	$28.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.25 / $230.36 / $253.40	Professional		$161.25	$230.36	$253.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.71 / $33.86 / $37.26	Professional	26	$23.71	$33.86	$37.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $137.54 / $196.49 / $216.14	Professional	TC	$137.54	$196.49	$216.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.27 / $341.37 / $1,303.45	Professional		$240.27	$341.37	$1,303.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.11 / $35.40 / $138.88	Professional	26	$25.11	$35.40	$138.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $215.16 / $305.97 / $1,164.55	Professional	TC	$215.16	$305.97	$1,164.55
United Facility/Professional Professional Modifier Low / Median / High Price $173.30 / $221.64 / $337.75	Professional		$173.30	$221.64	$337.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.68 / $23.38 / $40.70	Professional	26	$18.68	$23.38	$40.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.94 / $197.63 / $303.79	Professional	TC	$151.94	$197.63	$303.79