Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $109.65 / $109.65	Facility	26	$70.79	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $562.34	Professional		$208.93	$309.03	$562.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $107.15 / $204.17	Professional	26	$57.54	$107.15	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $208.93 / $371.54	Professional	TC	$131.83	$208.93	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $181.97	Professional		$177.83	$177.83	$181.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $67.61 / $89.13	Professional	26	$56.23	$67.61	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $302.00 / $363.08	Professional		$112.20	$302.00	$363.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $107.15 / $134.90	Professional	26	$74.13	$107.15	$134.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $199.53 / $234.42	Professional	TC	$72.44	$199.53	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $691.83	Professional		$218.78	$346.74	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $97.72 / $199.53	Professional	26	$66.07	$97.72	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $251.19 / $478.63	Professional	TC	$147.91	$251.19	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $489.78	Professional		$186.21	$263.03	$489.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $79.43 / $112.20	Professional	26	$58.88	$79.43	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $177.83 / $407.38	Professional	TC	$123.03	$177.83	$407.38