Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $117.12 / $158.11	Facility	26	$93.33	$117.12	$158.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.40 / $347.14 / $453.99	Professional		$230.40	$347.14	$453.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $98.00 / $122.97	Professional	26	$55.00	$98.00	$122.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.59 / $230.02 / $310.52	Professional	TC	$154.59	$230.02	$310.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.15 / $195.84 / $478.37	Professional		$153.15	$195.84	$478.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.64 / $91.15 / $100.44	Professional	26	$60.64	$91.15	$100.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.82 / $195.62 / $419.69	Professional		$129.82	$195.62	$419.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.76 / $112.00 / $132.16	Professional	26	$81.76	$112.00	$132.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $88.94 / $134.02 / $287.52	Professional	TC	$88.94	$134.02	$287.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.38 / $409.93 / $935.89	Professional		$221.38	$409.93	$935.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.54 / $105.00 / $213.77	Professional	26	$66.54	$105.00	$213.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.85 / $298.37 / $800.37	Professional	TC	$154.85	$298.37	$800.37
United Facility/Professional Professional Modifier Low / Median / High Price $226.85 / $301.61 / $767.98	Professional		$226.85	$301.61	$767.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.13 / $85.99 / $123.47	Professional	26	$67.13	$85.99	$123.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.88 / $211.85 / $663.64	Professional	TC	$158.88	$211.85	$663.64