Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $707.95	Professional		$323.59	$380.19	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $128.82 / $199.53	Professional	26	$97.72	$128.82	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $275.42 / $512.86	Professional	TC	$223.87	$275.42	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $407.38	Professional		$245.47	$346.74	$407.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $104.71 / $141.25	Professional	26	$74.13	$104.71	$141.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $239.88 / $295.12	Professional	TC	$169.82	$239.88	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $602.56	Professional		$316.23	$371.54	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $138.04 / $199.53	Professional	26	$97.72	$138.04	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $239.88 / $416.87	Professional	TC	$194.98	$239.88	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $537.03	Professional		$257.04	$323.59	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $117.49 / $173.78	Professional	26	$83.18	$117.49	$173.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $218.78 / $363.08	Professional	TC	$169.82	$218.78	$363.08