Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $123.03 / $123.03	Facility	26	$79.43	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $676.08	Professional		$218.78	$354.81	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $89.13 / $213.80	Professional	26	$67.61	$89.13	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $218.78 / $446.68	Professional	TC	$125.89	$218.78	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $398.11	Professional		$199.53	$229.09	$398.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $95.50 / $125.89	Professional	26	$63.10	$95.50	$125.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $234.42 / $234.42	Professional	TC	$234.42	$234.42	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $446.68 / $537.03	Professional		$165.96	$446.68	$537.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $134.90 / $173.78	Professional	26	$95.50	$134.90	$173.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $316.23 / $371.54	Professional	TC	$114.82	$316.23	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $851.14	Professional		$275.42	$426.58	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $109.65 / $229.09	Professional	26	$83.18	$109.65	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $309.03 / $630.96	Professional	TC	$190.55	$309.03	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $676.08	Professional		$229.09	$338.84	$676.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $91.20 / $131.83	Professional	26	$67.61	$91.20	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $229.09 / $549.54	Professional	TC	$158.49	$229.09	$549.54