Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $117.49 / $117.49	Facility	26	$75.86	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $676.08	Professional		$234.42	$346.74	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $93.33 / $213.80	Professional	26	$70.79	$93.33	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $229.09 / $416.87	Professional	TC	$147.91	$229.09	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $97.72 / $128.82	Professional	26	$61.66	$97.72	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $354.81 / $416.87	Professional		$128.82	$354.81	$416.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $112.20 / $144.54	Professional	26	$77.62	$112.20	$144.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $245.47 / $288.40	Professional	TC	$89.13	$245.47	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $870.96	Professional		$269.15	$446.68	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $107.15 / $218.78	Professional	26	$79.43	$107.15	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $323.59 / $660.69	Professional	TC	$186.21	$323.59	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $724.44	Professional		$223.87	$331.13	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $87.10 / $128.82	Professional	26	$66.07	$87.10	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $223.87 / $616.60	Professional	TC	$158.49	$223.87	$616.60