Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $165.96 / $165.96	Facility	26	$100.00	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $1,096.48	Professional		$331.13	$501.19	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $208.93 / $338.84	Professional	26	$102.33	$208.93	$338.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $338.84 / $741.31	Professional	TC	$204.17	$338.84	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $251.19 / $281.84	Professional		$229.09	$251.19	$281.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $125.89 / $194.98	Professional	26	$79.43	$125.89	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $707.95 / $912.01	Professional		$245.47	$707.95	$912.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $223.87 / $288.40	Professional	26	$154.88	$223.87	$288.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $478.63 / $616.60	Professional	TC	$169.82	$478.63	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $562.34 / $1,122.02	Professional		$323.59	$562.34	$1,122.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $165.96 / $288.40	Professional	26	$112.20	$165.96	$288.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $398.11 / $933.25	Professional	TC	$229.09	$398.11	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $1,174.90	Professional		$281.84	$407.38	$1,174.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $117.49 / $181.97	Professional	26	$87.10	$117.49	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $275.42 / $1,000.00	Professional	TC	$190.55	$275.42	$1,000.00