Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.65 / $46.65 / $62.99	Facility	26	$46.65	$46.65	$62.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.72 / $386.10 / $405.40	Professional		$263.72	$386.10	$405.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.39 / $46.66 / $48.99	Professional	26	$30.39	$46.66	$48.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $230.91 / $339.43 / $356.40	Professional	TC	$230.91	$339.43	$356.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.37 / $25.37 / $42.02	Professional	26	$25.37	$25.37	$42.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.84 / $315.49 / $347.04	Professional		$220.84	$315.49	$347.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.27 / $48.96 / $53.86	Professional	26	$34.27	$48.96	$53.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.57 / $266.52 / $293.18	Professional	TC	$186.57	$266.52	$293.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.17 / $468.49 / $1,791.76	Professional		$330.17	$468.49	$1,791.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.29 / $52.68 / $206.56	Professional	26	$37.29	$52.68	$206.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $292.88 / $415.82 / $1,585.24	Professional	TC	$292.88	$415.82	$1,585.24
United Facility/Professional Professional Modifier Low / Median / High Price $236.96 / $303.38 / $457.12	Professional		$236.96	$303.38	$457.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.13 / $35.81 / $53.97	Professional	26	$27.13	$35.81	$53.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.44 / $255.37 / $407.26	Professional	TC	$204.44	$255.37	$407.26