Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $107.15 / $107.15	Facility	26	$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $831.76	Professional		$269.15	$446.68	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $141.25 / $229.09	Professional	26	$70.79	$141.25	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $309.03 / $562.34	Professional	TC	$199.53	$309.03	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $51.29 / $79.43	Professional	26	$51.29	$51.29	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $478.63 / $616.60	Professional		$169.82	$478.63	$616.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $131.83 / $169.82	Professional	26	$91.20	$131.83	$169.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $354.81 / $416.87	Professional	TC	$128.82	$354.81	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $812.83	Professional		$263.03	$436.52	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $107.15 / $181.97	Professional	26	$67.61	$107.15	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $323.59 / $645.65	Professional	TC	$213.80	$323.59	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $660.69	Professional		$234.42	$338.84	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $72.44 / $117.49	Professional	26	$54.95	$72.44	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $251.19 / $562.34	Professional	TC	$177.83	$251.19	$562.34