Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $128.82 / $128.82	Facility	26	$79.43	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $758.58	Professional		$275.42	$426.58	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $269.15	Professional	26	$85.11	$141.25	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $316.23 / $602.56	Professional	TC	$194.98	$316.23	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $478.63 / $575.44	Professional		$177.83	$478.63	$575.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $154.88 / $199.53	Professional	26	$109.65	$154.88	$199.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $331.13 / $389.05	Professional	TC	$120.23	$331.13	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $489.78 / $933.25	Professional		$275.42	$489.78	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $134.90 / $223.87	Professional	26	$87.10	$134.90	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $346.74 / $676.08	Professional	TC	$199.53	$346.74	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $812.83	Professional		$239.88	$354.81	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $89.13 / $141.25	Professional	26	$67.61	$89.13	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $245.47 / $691.83	Professional	TC	$169.82	$245.47	$691.83