Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.00 / $129.00 / $129.00	Facility	26	$129.00	$129.00	$129.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $503.21 / $616.29	Professional		$275.00	$503.21	$616.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $129.00 / $153.19	Professional	26	$68.75	$129.00	$153.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $374.22 / $467.66	Professional	TC	$206.25	$374.22	$467.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $385.93 / $385.93 / $385.93	Professional		$385.93	$385.93	$385.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.63 / $320.39 / $687.40	Professional		$212.63	$320.39	$687.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $113.50 / $155.47 / $183.47	Professional	26	$113.50	$155.47	$183.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $155.88 / $234.88 / $503.93	Professional	TC	$155.88	$234.88	$503.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.75 / $489.19 / $994.67	Professional		$280.75	$489.19	$994.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.19 / $121.34 / $231.00	Professional	26	$68.19	$121.34	$231.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.69 / $364.92 / $744.71	Professional	TC	$208.69	$364.92	$744.71
United Facility/Professional Professional Modifier Low / Median / High Price $292.60 / $388.62 / $743.54	Professional		$292.60	$388.62	$743.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.91 / $88.15 / $123.41	Professional	26	$67.91	$88.15	$123.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.85 / $298.45 / $635.44	Professional	TC	$223.85	$298.45	$635.44