Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.53 / $61.60 / $61.61	Facility	26	$53.53	$61.60	$61.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.89 / $274.08 / $287.77	Professional		$187.89	$274.08	$287.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.77 / $61.61 / $64.69	Professional	26	$42.77	$61.61	$64.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.47 / $212.47 / $230.90	Professional	TC	$144.47	$212.47	$230.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.91 / $150.78 / $186.26	Professional		$141.91	$150.78	$186.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.81 / $43.81 / $43.81	Professional	26	$43.81	$43.81	$43.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.80 / $324.00 / $356.40	Professional		$226.80	$324.00	$356.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.01 / $104.30 / $114.73	Professional	26	$73.01	$104.30	$114.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $153.79 / $219.70 / $241.67	Professional	TC	$153.79	$219.70	$241.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.35 / $325.47 / $1,247.44	Professional		$229.35	$325.47	$1,247.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.79 / $70.48 / $270.50	Professional	26	$48.79	$70.48	$270.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $180.56 / $255.99 / $976.93	Professional	TC	$180.56	$255.99	$976.93
United Facility/Professional Professional Modifier Low / Median / High Price $167.42 / $212.26 / $340.65	Professional		$167.42	$212.26	$340.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.61 / $46.36 / $66.23	Professional	26	$34.61	$46.36	$66.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.78 / $164.71 / $275.89	Professional	TC	$134.78	$164.71	$275.89