Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.78 / $139.63 / $144.97	Professional		$103.78	$139.63	$144.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.14 / $41.41 / $45.99	Professional	26	$31.14	$41.41	$45.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.86 / $98.22 / $98.98	Professional	TC	$71.86	$98.22	$98.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $69.09 / $69.09	Professional		$69.09	$69.09	$69.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $179.00 / $211.22	Professional		$179.00	$179.00	$211.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.86 / $78.00 / $92.04	Professional	26	$71.86	$78.00	$92.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $101.00 / $101.00 / $119.18	Professional	TC	$101.00	$101.00	$119.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $69.30 / $237.35	Professional		$49.85	$69.30	$237.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.45 / $30.59 / $153.65	Professional	26	$19.45	$30.59	$153.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.89 / $46.47 / $162.52	Professional	TC	$29.89	$46.47	$162.52
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $118.32 / $197.97	Professional		$73.42	$118.32	$197.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.18 / $41.96 / $64.97	Professional	26	$25.18	$41.96	$64.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.24 / $72.45 / $117.87	Professional	TC	$48.24	$72.45	$117.87