Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.89 / $138.83 / $148.63	Facility	26	$112.89	$138.83	$148.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.37 / $551.63 / $616.29	Professional		$380.37	$551.63	$616.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.21 / $140.00 / $380.94	Professional	26	$95.21	$140.00	$380.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $293.25 / $417.94 / $478.00	Professional	TC	$293.25	$417.94	$478.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.37 / $70.37 / $70.37	Professional	26	$70.37	$70.37	$70.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.92 / $493.57 / $548.41	Professional		$372.92	$493.57	$548.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.92 / $121.66 / $135.18	Professional	26	$91.92	$121.66	$135.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $281.00 / $371.91 / $413.23	Professional	TC	$281.00	$371.91	$413.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.96 / $574.26 / $814.10	Professional		$351.96	$574.26	$814.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.43 / $125.18 / $183.12	Professional	26	$82.43	$125.18	$183.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $266.58 / $439.09 / $645.15	Professional	TC	$266.58	$439.09	$645.15
United Facility/Professional Professional Modifier Low / Median / High Price $352.45 / $545.58 / $766.04	Professional		$352.45	$545.58	$766.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.51 / $104.81 / $168.83	Professional	26	$82.51	$104.81	$168.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $274.58 / $431.77 / $558.42	Professional	TC	$274.58	$431.77	$558.42