Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.31 / $121.87 / $164.52	Facility	26	$102.31	$121.87	$164.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.59 / $351.89 / $462.24	Professional		$233.59	$351.89	$462.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $98.00 / $132.05	Professional	26	$55.00	$98.00	$132.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.59 / $230.02 / $310.52	Professional	TC	$154.59	$230.02	$310.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.35 / $198.56 / $245.28	Professional		$198.35	$198.56	$245.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.20 / $82.95 / $104.68	Professional	26	$63.20	$82.95	$104.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $247.50 / $531.00	Professional		$164.25	$247.50	$531.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $98.55 / $135.00 / $159.30	Professional	26	$98.55	$135.00	$159.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.98 / $173.25 / $371.70	Professional	TC	$114.98	$173.25	$371.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.90 / $400.87 / $827.36	Professional		$225.90	$400.87	$827.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.16 / $110.15 / $221.63	Professional	26	$65.16	$110.15	$221.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $156.40 / $283.12 / $605.05	Professional	TC	$156.40	$283.12	$605.05
United Facility/Professional Professional Modifier Low / Median / High Price $230.88 / $325.08 / $679.89	Professional		$230.88	$325.08	$679.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.40 / $89.48 / $128.97	Professional	26	$70.40	$89.48	$128.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $161.05 / $214.73 / $550.91	Professional	TC	$161.05	$214.73	$550.91