Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.48 / $48.48 / $65.44	Facility	26	$48.48	$48.48	$65.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.05 / $174.27 / $200.09	Professional		$134.05	$174.27	$200.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.38 / $48.48 / $50.90	Professional	26	$33.38	$48.48	$50.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.82 / $128.72 / $149.19	Professional	TC	$96.82	$128.72	$149.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $51.00 / $51.00	Professional	26	$19.39	$51.00	$51.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.54 / $179.00 / $211.22	Professional		$140.54	$179.00	$211.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.65 / $47.88 / $56.50	Professional	26	$32.65	$47.88	$56.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $107.89 / $131.12 / $154.72	Professional	TC	$107.89	$131.12	$154.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $88.24 / $1,043.65	Professional		$69.38	$88.24	$1,043.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.73 / $27.60 / $284.73	Professional	26	$19.73	$27.60	$284.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.53 / $63.23 / $758.90	Professional	TC	$49.53	$63.23	$758.90
United Facility/Professional Professional Modifier Low / Median / High Price $94.46 / $110.44 / $184.06	Professional		$94.46	$110.44	$184.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.48 / $27.50 / $62.25	Professional	26	$26.48	$27.50	$62.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.44 / $82.94 / $138.22	Professional	TC	$53.44	$82.94	$138.22