Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.21 / $169.21 / $169.21	Facility		$169.21	$169.21	$169.21
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.98 / $77.98 / $77.98	Facility	26	$77.98	$77.98	$77.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.59 / $130.96 / $169.22	Professional		$114.59	$130.96	$169.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.02 / $62.47 / $77.98	Professional	26	$52.02	$62.47	$77.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.86 / $87.31 / $91.23	Professional	TC	$61.86	$87.31	$91.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.24 / $74.73 / $82.79	Professional	26	$31.24	$74.73	$82.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.66 / $153.66 / $181.32	Professional		$153.66	$153.66	$181.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.77 / $75.77 / $89.41	Professional	26	$75.77	$75.77	$89.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.89 / $77.89 / $91.91	Professional	TC	$77.89	$77.89	$91.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.22 / $80.37 / $163.88	Professional		$67.22	$80.37	$163.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.04 / $35.83 / $118.37	Professional	26	$32.04	$35.83	$118.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.06 / $43.24 / $87.45	Professional	TC	$35.06	$43.24	$87.45
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $99.76 / $157.35	Professional		$87.07	$99.76	$157.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.68 / $54.35 / $74.12	Professional	26	$42.68	$54.35	$74.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.39 / $50.02 / $83.37	Professional	TC	$44.39	$50.02	$83.37