Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $160.53 / $216.71 / $216.71	Facility	26	$160.53	$216.71	$216.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.64 / $239.41 / $288.31	Professional		$186.64	$239.41	$288.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.73 / $138.21 / $170.58	Professional	26	$116.73	$138.21	$170.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.34 / $88.74 / $113.91	Professional	TC	$75.34	$88.74	$113.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.74 / $187.72 / $277.01	Professional		$171.74	$187.72	$277.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $112.50 / $156.54 / $223.70	Professional	26	$112.50	$156.54	$223.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.77 / $228.45 / $269.57	Professional		$166.77	$228.45	$269.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.67 / $136.53 / $161.11	Professional	26	$99.67	$136.53	$161.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.09 / $91.92 / $108.47	Professional	TC	$67.09	$91.92	$108.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.16 / $254.25 / $816.74	Professional		$196.16	$254.25	$816.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $121.07 / $150.69 / $488.09	Professional	26	$121.07	$150.69	$488.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.55 / $100.29 / $328.65	Professional	TC	$73.55	$100.29	$328.65
United Facility/Professional Professional Modifier Low / Median / High Price $163.95 / $217.58 / $340.60	Professional		$163.95	$217.58	$340.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.38 / $131.66 / $208.03	Professional	26	$100.38	$131.66	$208.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.70 / $87.05 / $142.47	Professional	TC	$67.70	$87.05	$142.47