Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.41 / $47.41 / $47.41	Facility	26	$47.41	$47.41	$47.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.18 / $204.66 / $242.63	Professional		$168.18	$204.66	$242.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.91 / $42.04 / $49.78	Professional	26	$23.91	$42.04	$49.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $133.97 / $169.96 / $192.85	Professional	TC	$133.97	$169.96	$192.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.37 / $34.51 / $45.33	Professional	26	$27.37	$34.51	$45.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.57 / $209.00 / $246.62	Professional		$152.57	$209.00	$246.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.47 / $41.74 / $49.25	Professional	26	$30.47	$41.74	$49.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $122.10 / $167.26 / $197.37	Professional	TC	$122.10	$167.26	$197.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.82 / $215.45 / $502.69	Professional		$152.82	$215.45	$502.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $38.15 / $99.15	Professional	26	$21.38	$38.15	$99.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $142.94 / $192.37 / $445.41	Professional	TC	$142.94	$192.37	$445.41
United Facility/Professional Professional Modifier Low / Median / High Price $153.59 / $199.88 / $305.08	Professional		$153.59	$199.88	$305.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.56 / $34.97 / $50.60	Professional	26	$24.56	$34.97	$50.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.94 / $160.80 / $268.25	Professional	TC	$126.94	$160.80	$268.25