Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.91 / $30.17 / $40.74	Facility	26	$26.91	$30.17	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.18 / $184.66 / $249.29	Professional		$129.18	$184.66	$249.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.70 / $28.91 / $40.74	Professional	26	$19.70	$28.91	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.48 / $154.47 / $208.54	Professional	TC	$109.48	$154.47	$208.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $22.39 / $22.39	Professional	26	$22.39	$22.39	$22.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.92 / $156.05 / $184.14	Professional		$113.92	$156.05	$184.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.61 / $24.13 / $28.47	Professional	26	$17.61	$24.13	$28.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $96.30 / $131.91 / $155.66	Professional	TC	$96.30	$131.91	$155.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.82 / $173.63 / $407.54	Professional		$119.82	$173.63	$407.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.13 / $25.82 / $68.22	Professional	26	$21.13	$25.82	$68.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $118.28 / $162.99 / $391.61	Professional	TC	$118.28	$162.99	$391.61
United Facility/Professional Professional Modifier Low / Median / High Price $125.05 / $161.72 / $280.60	Professional		$125.05	$161.72	$280.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.95 / $24.13 / $33.29	Professional	26	$18.95	$24.13	$33.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.10 / $131.57 / $239.10	Professional	TC	$106.10	$131.57	$239.10