Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $107.15 / $107.15	Facility	26	$64.57	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $398.11 / $724.44	Professional		$199.53	$398.11	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $85.11 / $194.98	Professional	26	$64.57	$85.11	$194.98
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $75.86 / $169.82 / $524.81	Professional	52	$75.86	$169.82	$524.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $251.19 / $588.84	Professional	TC	$141.25	$251.19	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $229.09	Professional		$138.04	$154.88	$229.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $72.44 / $109.65	Professional	26	$38.90	$72.44	$109.65
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $707.95 / $707.95 / $707.95	Professional	TC	$707.95	$707.95	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $436.52 / $562.34	Professional		$158.49	$436.52	$562.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $158.49 / $204.17	Professional	26	$112.20	$158.49	$204.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $275.42 / $323.59	Professional	TC	$100.00	$275.42	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $398.11 / $707.95	Professional		$199.53	$398.11	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $107.15 / $181.97	Professional	26	$67.61	$107.15	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $281.84 / $575.44	Professional	TC	$134.90	$281.84	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $707.95	Professional		$169.82	$251.19	$707.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $72.44 / $117.49	Professional	26	$56.23	$72.44	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $162.18 / $575.44	Professional	TC	$112.20	$162.18	$575.44