Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $164.09 / $164.09 / $221.52	Facility	26	$164.09	$164.09	$221.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.95 / $484.09 / $589.97	Professional		$281.95	$484.09	$589.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $164.09 / $189.02	Professional	26	$85.00	$164.09	$189.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $335.00 / $398.03	Professional	TC	$206.25	$335.00	$398.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.39 / $218.39 / $242.66	Professional		$218.39	$218.39	$242.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.86 / $120.22 / $132.26	Professional	26	$79.86	$120.22	$132.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.29 / $387.70 / $831.78	Professional		$257.29	$387.70	$831.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $163.52 / $224.00 / $264.32	Professional	26	$163.52	$224.00	$264.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $175.53 / $264.50 / $567.46	Professional	TC	$175.53	$264.50	$567.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.39 / $550.00 / $1,263.06	Professional		$269.39	$550.00	$1,263.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.87 / $158.01 / $288.00	Professional	26	$87.87	$158.01	$288.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $178.19 / $385.00 / $1,046.47	Professional	TC	$178.19	$385.00	$1,046.47
United Facility/Professional Professional Modifier Low / Median / High Price $287.62 / $394.86 / $1,196.14	Professional		$287.62	$394.86	$1,196.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.15 / $112.72 / $171.05	Professional	26	$88.15	$112.72	$171.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $197.30 / $256.24 / $1,043.85	Professional	TC	$197.30	$256.24	$1,043.85