Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.59 / $124.62 / $124.62	Facility	26	$62.59	$124.62	$124.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.16 / $229.24 / $326.55	Professional		$158.16	$229.24	$326.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.81 / $80.40 / $124.62	Professional	26	$55.81	$80.40	$124.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.35 / $148.83 / $201.93	Professional	TC	$102.35	$148.83	$201.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.37 / $159.37 / $159.37	Professional		$159.37	$159.37	$159.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.59 / $65.72 / $84.50	Professional	26	$62.59	$65.72	$84.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $193.49 / $228.32	Professional		$141.25	$193.49	$228.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.85 / $76.50 / $90.27	Professional	26	$55.85	$76.50	$90.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.40 / $116.99 / $138.05	Professional	TC	$85.40	$116.99	$138.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.35 / $247.56 / $537.97	Professional		$159.35	$247.56	$537.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.98 / $104.18 / $196.85	Professional	26	$66.98	$104.18	$196.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $105.35 / $192.01 / $396.02	Professional	TC	$105.35	$192.01	$396.02
United Facility/Professional Professional Modifier Low / Median / High Price $145.08 / $179.83 / $280.49	Professional		$145.08	$179.83	$280.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.68 / $70.33 / $106.47	Professional	26	$54.68	$70.33	$106.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.30 / $108.49 / $162.49	Professional	TC	$85.30	$108.49	$162.49