Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.36 / $106.95 / $144.38	Facility	26	$78.36	$106.95	$144.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $317.58 / $475.00	Professional		$275.00	$317.58	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $106.95 / $141.00	Professional	26	$68.75	$106.95	$141.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $137.50 / $144.58 / $212.50	Professional	52	$137.50	$144.58	$212.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $182.19 / $204.45 / $340.00	Professional	TC	$182.19	$204.45	$340.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.58 / $143.66 / $187.30	Professional		$130.58	$143.66	$187.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.48 / $70.80 / $102.96	Professional	26	$51.48	$70.80	$102.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $232.40 / $498.59	Professional		$154.22	$232.40	$498.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $117.44 / $160.88 / $189.84	Professional	26	$117.44	$160.88	$189.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.51 / $143.91 / $308.75	Professional	TC	$95.51	$143.91	$308.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.41 / $373.32 / $779.79	Professional		$157.41	$373.32	$779.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.52 / $99.80 / $207.38	Professional	26	$56.52	$99.80	$207.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.06 / $244.85 / $654.71	Professional	TC	$102.06	$244.85	$654.71
United Facility/Professional Professional Modifier Low / Median / High Price $165.65 / $220.87 / $690.43	Professional		$165.65	$220.87	$690.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.11 / $73.09 / $102.34	Professional	26	$57.11	$73.09	$102.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $111.43 / $144.72 / $593.90	Professional	TC	$111.43	$144.72	$593.90