Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $162.18 / $162.18	Facility	26	$97.72	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $616.60 / $1,258.93	Professional		$371.54	$616.60	$1,258.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $190.55 / $346.74	Professional	26	$107.15	$190.55	$346.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $478.63 / $954.99	Professional	TC	$257.04	$478.63	$954.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $147.91 / $147.91	Professional	26	$147.91	$147.91	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $676.08 / $794.33	Professional		$245.47	$676.08	$794.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $138.04 / $177.83	Professional	26	$97.72	$138.04	$177.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $537.03 / $630.96	Professional	TC	$194.98	$537.03	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,513.56	Professional		$467.74	$691.83	$1,513.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $162.18 / $281.84	Professional	26	$104.71	$162.18	$281.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $537.03 / $1,318.26	Professional	TC	$363.08	$537.03	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $1,258.93	Professional		$426.58	$616.60	$1,258.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $109.65 / $177.83	Professional	26	$83.18	$109.65	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $478.63 / $1,096.48	Professional	TC	$338.84	$478.63	$1,096.48