Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.48 / $86.59 / $116.90	Facility	26	$63.48	$86.59	$116.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $354.75 / $475.00	Professional		$275.00	$354.75	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $86.60 / $140.00	Professional	26	$68.75	$86.60	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $257.30 / $340.00	Professional	TC	$206.25	$257.30	$340.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $162.52 / $393.62	Professional		$146.27	$162.52	$393.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.47 / $62.29 / $68.67	Professional	26	$41.47	$62.29	$68.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.21 / $259.49 / $556.72	Professional		$172.21	$259.49	$556.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.59 / $129.58 / $152.90	Professional	26	$94.59	$129.58	$152.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $124.91 / $188.22 / $403.82	Professional	TC	$124.91	$188.22	$403.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.30 / $456.15 / $870.16	Professional		$181.30	$456.15	$870.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.45 / $80.77 / $167.99	Professional	26	$45.45	$80.77	$167.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $133.09 / $359.68 / $769.05	Professional	TC	$133.09	$359.68	$769.05
United Facility/Professional Professional Modifier Low / Median / High Price $191.75 / $270.79 / $725.21	Professional		$191.75	$270.79	$725.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.90 / $58.96 / $79.84	Professional	26	$44.90	$58.96	$79.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.51 / $193.37 / $653.77	Professional	TC	$144.51	$193.37	$653.77