Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.32 / $106.48 / $143.74	Facility	26	$95.32	$106.48	$143.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $491.44 / $663.44	Professional		$275.00	$491.44	$663.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $106.48 / $141.00	Professional	26	$68.75	$106.48	$141.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $384.96 / $488.90	Professional	TC	$206.25	$384.96	$488.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.21 / $223.21 / $556.40	Professional		$223.21	$223.21	$556.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.26 / $77.06 / $84.89	Professional	26	$51.26	$77.06	$84.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.53 / $287.10 / $615.96	Professional		$190.53	$287.10	$615.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $116.93 / $160.18 / $189.01	Professional	26	$116.93	$160.18	$189.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $132.06 / $199.00 / $426.95	Professional	TC	$132.06	$199.00	$426.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.61 / $675.00 / $1,369.27	Professional		$276.61	$675.00	$1,369.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.26 / $113.72 / $231.00	Professional	26	$56.26	$113.72	$231.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $217.01 / $539.00 / $1,228.32	Professional	TC	$217.01	$539.00	$1,228.32
United Facility/Professional Professional Modifier Low / Median / High Price $290.68 / $395.33 / $1,212.11	Professional		$290.68	$395.33	$1,212.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.12 / $75.08 / $120.01	Professional	26	$57.12	$75.08	$120.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $232.04 / $310.52 / $1,104.96	Professional	TC	$232.04	$310.52	$1,104.96