Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $128.82 / $128.82	Facility	26	$77.62	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $426.58 / $812.83	Professional		$257.04	$426.58	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $134.90 / $234.42	Professional	26	$81.28	$134.90	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $288.40 / $588.84	Professional	TC	$190.55	$288.40	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $63.10 / $75.86	Professional	26	$63.10	$63.10	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $478.63 / $562.34	Professional		$173.78	$478.63	$562.34
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 $117.49 / $316.23 / $380.19	Professional	TC	$117.49	$316.23	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $478.63 / $891.25	Professional		$275.42	$478.63	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $128.82 / $223.87	Professional	26	$81.28	$128.82	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $346.74 / $660.69	Professional	TC	$199.53	$346.74	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $812.83	Professional		$234.42	$346.74	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $87.10 / $141.25	Professional	26	$66.07	$87.10	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $239.88 / $691.83	Professional	TC	$169.82	$239.88	$691.83