Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.87 / $96.87 / $130.77	Facility	26	$96.87	$96.87	$130.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.54 / $151.37 / $181.20	Professional		$118.54	$151.37	$181.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.06 / $82.73 / $102.46	Professional	26	$70.06	$82.73	$102.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.92 / $61.31 / $77.23	Professional	TC	$49.92	$61.31	$77.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.38 / $139.72 / $196.52	Professional		$117.38	$139.72	$196.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $74.64 / $94.19 / $134.29	Professional	26	$74.64	$94.19	$134.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.84 / $142.24 / $167.84	Professional		$103.84	$142.24	$167.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.97 / $79.41 / $93.70	Professional	26	$57.97	$79.41	$93.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.87 / $62.83 / $74.14	Professional	TC	$45.87	$62.83	$74.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.27 / $159.33 / $506.43	Professional		$124.27	$159.33	$506.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.70 / $90.52 / $292.23	Professional	26	$72.70	$90.52	$292.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.59 / $66.78 / $214.22	Professional	TC	$50.59	$66.78	$214.22
United Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $137.88 / $197.76	Professional		$105.62	$137.88	$197.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.11 / $79.41 / $125.47	Professional	26	$58.11	$79.41	$125.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.97 / $59.11 / $95.16	Professional	TC	$45.97	$59.11	$95.16