Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.09 / $149.97 / $149.97	Facility	26	$111.09	$149.97	$149.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.15 / $253.65 / $385.01	Professional		$186.15	$253.65	$385.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.71 / $72.20 / $111.47	Professional	26	$55.71	$72.20	$111.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $130.41 / $181.32 / $273.91	Professional	TC	$130.41	$181.32	$273.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.86 / $66.86 / $66.86	Professional	26	$66.86	$66.86	$66.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.10 / $270.00 / $318.60	Professional		$197.10	$270.00	$318.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.02 / $75.37 / $88.94	Professional	26	$55.02	$75.37	$88.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $142.08 / $194.63 / $229.66	Professional	TC	$142.08	$194.63	$229.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.18 / $276.20 / $600.71	Professional		$174.18	$276.20	$600.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.40 / $87.66 / $176.39	Professional	26	$59.40	$87.66	$176.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $142.21 / $206.21 / $491.15	Professional	TC	$142.21	$206.21	$491.15
United Facility/Professional Professional Modifier Low / Median / High Price $175.79 / $215.86 / $320.62	Professional		$175.79	$215.86	$320.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.99 / $62.95 / $92.41	Professional	26	$48.99	$62.95	$92.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $129.11 / $153.88 / $229.14	Professional	TC	$129.11	$153.88	$229.14