Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $161.56 / $161.56 / $218.10	Facility	26	$161.56	$161.56	$218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $669.37 / $832.66	Professional		$275.00	$669.37	$832.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $161.56 / $186.65	Professional	26	$68.75	$161.56	$186.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $507.81 / $639.70	Professional	TC	$206.25	$507.81	$639.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $352.94 / $352.94 / $352.94	Professional		$352.94	$352.94	$352.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.13 / $80.13 / $80.13	Professional	26	$80.13	$80.13	$80.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.38 / $371.25 / $796.50	Professional		$246.38	$371.25	$796.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.74 / $139.37 / $164.46	Professional	26	$101.74	$139.37	$164.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $195.51 / $294.60 / $632.04	Professional	TC	$195.51	$294.60	$632.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.92 / $679.55 / $1,412.29	Professional		$395.92	$679.55	$1,412.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.52 / $151.65 / $308.00	Professional	26	$86.52	$151.65	$308.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $305.05 / $521.54 / $1,191.50	Professional	TC	$305.05	$521.54	$1,191.50
United Facility/Professional Professional Modifier Low / Median / High Price $421.71 / $589.42 / $1,262.89	Professional		$421.71	$589.42	$1,262.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.07 / $110.49 / $155.13	Professional	26	$86.07	$110.49	$155.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $335.64 / $447.52 / $1,085.74	Professional	TC	$335.64	$447.52	$1,085.74