Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.32 / $129.40 / $129.40	Facility	26	$95.32	$129.40	$129.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $516.70 / $572.77	Professional		$275.00	$516.70	$572.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $129.40 / $145.81	Professional	26	$68.75	$129.40	$145.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $387.30 / $435.75	Professional	TC	$206.25	$387.30	$435.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.29 / $234.29 / $260.33	Professional		$234.29	$234.29	$260.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.39 / $93.74 / $103.32	Professional	26	$62.39	$93.74	$103.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.19 / $367.95 / $789.42	Professional		$244.19	$367.95	$789.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $142.31 / $194.95 / $230.04	Professional	26	$142.31	$194.95	$230.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.03 / $260.73 / $559.38	Professional	TC	$173.03	$260.73	$559.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.38 / $690.22 / $1,370.30	Professional		$290.38	$690.22	$1,370.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.43 / $120.83 / $251.79	Professional	26	$68.43	$120.83	$251.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.08 / $539.00 / $1,229.41	Professional	TC	$218.08	$539.00	$1,229.41
United Facility/Professional Professional Modifier Low / Median / High Price $304.83 / $395.90 / $1,212.11	Professional		$304.83	$395.90	$1,212.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.45 / $88.75 / $120.01	Professional	26	$67.45	$88.75	$120.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $242.81 / $320.94 / $1,104.96	Professional	TC	$242.81	$320.94	$1,104.96