Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $93.33 / $93.33	Facility	26	$60.26	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $575.44	Professional		$173.78	$281.84	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $91.20 / $177.83	Professional	26	$54.95	$91.20	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $190.55 / $467.74	Professional	TC	$120.23	$190.55	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $151.36 / $281.84	Professional		$66.07	$151.36	$281.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $72.44 / $97.72	Professional	26	$48.98	$72.44	$97.72
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $83.18 / $83.18	Professional	TC	$83.18	$83.18	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $257.04 / $302.00	Professional		$93.33	$257.04	$302.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $102.33 / $131.83	Professional	26	$70.79	$102.33	$131.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $151.36 / $181.97	Professional	TC	$56.23	$151.36	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $562.34	Professional		$186.21	$295.12	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $85.11 / $173.78	Professional	26	$63.10	$85.11	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $204.17 / $380.19	Professional	TC	$120.23	$204.17	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $407.38	Professional		$154.88	$218.78	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $69.18 / $102.33	Professional	26	$51.29	$69.18	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $144.54 / $323.59	Professional	TC	$102.33	$144.54	$323.59