Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.26 / $75.26 / $101.61	Facility	26	$75.26	$75.26	$101.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.40 / $221.38 / $232.44	Professional		$152.40	$221.38	$232.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $75.27 / $79.03	Professional	26	$51.54	$75.27	$79.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.09 / $146.11 / $153.41	Professional	TC	$101.09	$146.11	$153.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.05 / $41.05 / $67.98	Professional	26	$41.05	$41.05	$67.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.90 / $267.00 / $293.70	Professional		$186.90	$267.00	$293.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.30 / $119.00 / $130.90	Professional	26	$83.30	$119.00	$130.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $103.60 / $148.00 / $162.80	Professional	TC	$103.60	$148.00	$162.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.02 / $250.21 / $953.73	Professional		$175.02	$250.21	$953.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $86.42 / $334.27	Professional	26	$60.26	$86.42	$334.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.76 / $164.95 / $619.49	Professional	TC	$114.76	$164.95	$619.49
United Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $168.00 / $264.86	Professional		$133.31	$168.00	$264.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.19 / $58.10 / $81.28	Professional	26	$42.19	$58.10	$81.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.31 / $111.93 / $189.01	Professional	TC	$89.31	$111.93	$189.01