Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $154.88 / $154.88	Facility	26	$93.33	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $1,258.93	Professional		$323.59	$512.86	$1,258.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $173.78 / $323.59	Professional	26	$93.33	$173.78	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $363.08 / $870.96	Professional	TC	$245.47	$363.08	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $275.42 / $309.03	Professional		$263.03	$275.42	$309.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $104.71 / $141.25	Professional	26	$75.86	$104.71	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $645.65 / $758.58	Professional		$234.42	$645.65	$758.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $190.55 / $245.47	Professional	26	$134.90	$190.55	$245.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $446.68 / $524.81	Professional	TC	$162.18	$446.68	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $602.56 / $1,174.90	Professional		$363.08	$602.56	$1,174.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $154.88 / $269.15	Professional	26	$97.72	$154.88	$269.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $446.68 / $1,023.29	Professional	TC	$263.03	$446.68	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $1,202.26	Professional		$302.00	$436.52	$1,202.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $104.71 / $169.82	Professional	26	$79.43	$104.71	$169.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $309.03 / $1,047.13	Professional	TC	$218.78	$309.03	$1,047.13