Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.67 / $117.12 / $158.11	Facility	26	$93.67	$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 $241.92 / $241.92 / $478.37	Professional		$241.92	$241.92	$478.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.64 / $91.15 / $121.28	Professional	26	$60.64	$91.15	$121.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $198.65 / $426.18	Professional		$131.83	$198.65	$426.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.22 / $114.00 / $134.52	Professional	26	$83.22	$114.00	$134.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $90.22 / $135.94 / $291.66	Professional	TC	$90.22	$135.94	$291.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.30 / $425.44 / $953.32	Professional		$208.30	$425.44	$953.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.46 / $106.45 / $242.65	Professional	26	$62.46	$106.45	$242.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $146.27 / $297.33 / $803.98	Professional	TC	$146.27	$297.33	$803.98
United Facility/Professional Professional Modifier Low / Median / High Price $226.58 / $321.20 / $771.27	Professional		$226.58	$321.20	$771.27
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 $158.61 / $211.49 / $666.45	Professional	TC	$158.61	$211.49	$666.45