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 $282.52 / $484.55 / $591.04	Professional		$282.52	$484.55	$591.04
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 / $399.20	Professional	TC	$206.25	$335.00	$399.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $243.15 / $243.15 / $243.15	Professional		$243.15	$243.15	$243.15
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 $257.33 / $388.49 / $833.47	Professional		$257.33	$388.49	$833.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $162.79 / $223.37 / $263.58	Professional	26	$162.79	$223.37	$263.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $175.80 / $265.83 / $570.33	Professional	TC	$175.80	$265.83	$570.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.00 / $466.71 / $1,203.30	Professional		$257.00	$466.71	$1,203.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.05 / $144.43 / $316.72	Professional	26	$82.05	$144.43	$316.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.14 / $322.27 / $986.18	Professional	TC	$169.14	$322.27	$986.18
United Facility/Professional Professional Modifier Low / Median / High Price $288.17 / $375.13 / $1,159.02	Professional		$288.17	$375.13	$1,159.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.15 / $112.72 / $171.51	Professional	26	$88.15	$112.72	$171.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $197.86 / $264.83 / $1,006.73	Professional	TC	$197.86	$264.83	$1,006.73