Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $107.15 / $107.15	Facility	26	$64.57	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $371.54 / $870.96	Professional		$208.93	$371.54	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $117.49 / $208.93	Professional	26	$63.10	$117.49	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $251.19 / $562.34	Professional	TC	$125.89	$251.19	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $147.91 / $691.83	Professional		$134.90	$147.91	$691.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $77.62 / $109.65	Professional	26	$51.29	$77.62	$109.65
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $93.33 / $95.50	Professional	TC	$93.33	$93.33	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $426.58 / $501.19	Professional		$154.88	$426.58	$501.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $162.18 / $204.17	Professional	26	$112.20	$162.18	$204.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $263.03 / $309.03	Professional	TC	$95.50	$263.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $398.11 / $660.69	Professional		$190.55	$398.11	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $112.20 / $186.21	Professional	26	$72.44	$112.20	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $281.84 / $524.81	Professional	TC	$128.82	$281.84	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $691.83	Professional		$165.96	$239.88	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $74.13 / $117.49	Professional	26	$56.23	$74.13	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $154.88 / $562.34	Professional	TC	$107.15	$154.88	$562.34