Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.06 / $47.06 / $47.06	Facility	26	$47.06	$47.06	$47.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.24 / $294.11 / $299.99	Professional		$200.24	$294.11	$299.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.91 / $40.90 / $47.06	Professional	26	$30.91	$40.90	$47.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.33 / $247.05 / $258.50	Professional	TC	$169.33	$247.05	$258.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.24 / $40.24 / $40.24	Professional	26	$40.24	$40.24	$40.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.75 / $246.23 / $290.55	Professional		$179.75	$246.23	$290.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.71 / $37.96 / $44.79	Professional	26	$27.71	$37.96	$44.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $152.04 / $208.27 / $245.76	Professional	TC	$152.04	$208.27	$245.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.46 / $256.20 / $473.34	Professional		$213.46	$256.20	$473.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.97 / $39.15 / $73.56	Professional	26	$32.97	$39.15	$73.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $180.49 / $216.41 / $399.78	Professional	TC	$180.49	$216.41	$399.78
United Facility/Professional Professional Modifier Low / Median / High Price $198.38 / $250.51 / $356.70	Professional		$198.38	$250.51	$356.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.78 / $37.90 / $53.90	Professional	26	$29.78	$37.90	$53.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $174.03 / $211.88 / $302.20	Professional	TC	$174.03	$211.88	$302.20