Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.34 / $96.71 / $124.32	Facility	26	$74.34	$96.71	$124.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.54 / $498.59 / $628.73	Professional		$268.54	$498.59	$628.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.70 / $124.32 / $145.65	Professional	26	$64.70	$124.32	$145.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $195.68 / $374.27 / $539.12	Professional	TC	$195.68	$374.27	$539.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.14 / $65.14 / $65.14	Professional	26	$65.14	$65.14	$65.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.91 / $387.68 / $430.75	Professional		$292.91	$387.68	$430.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.17 / $102.13 / $113.48	Professional	26	$77.17	$102.13	$113.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $215.74 / $285.54 / $317.27	Professional	TC	$215.74	$285.54	$317.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.10 / $521.14 / $726.61	Professional		$299.10	$521.14	$726.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.76 / $92.74 / $151.19	Professional	26	$57.76	$92.74	$151.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $220.30 / $401.87 / $646.35	Professional	TC	$220.30	$401.87	$646.35
United Facility/Professional Professional Modifier Low / Median / High Price $259.77 / $464.70 / $661.01	Professional		$259.77	$464.70	$661.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.74 / $87.23 / $138.37	Professional	26	$59.74	$87.23	$138.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.26 / $322.31 / $548.86	Professional	TC	$186.26	$322.31	$548.86