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 $281.39 / $482.69 / $588.90	Professional		$281.39	$482.69	$588.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $164.09 / $189.56	Professional	26	$85.00	$164.09	$189.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $335.00 / $399.35	Professional	TC	$206.25	$335.00	$399.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $217.96 / $225.12 / $311.81	Professional		$217.96	$225.12	$311.81
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 $256.77 / $386.93 / $830.13	Professional		$256.77	$386.93	$830.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $164.98 / $226.00 / $266.68	Professional	26	$164.98	$226.00	$266.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $174.29 / $262.63 / $563.45	Professional	TC	$174.29	$262.63	$563.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.49 / $550.00 / $1,244.61	Professional		$268.49	$550.00	$1,244.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.87 / $154.75 / $288.00	Professional	26	$87.87	$154.75	$288.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.65 / $385.00 / $1,045.95	Professional	TC	$177.65	$385.00	$1,045.95
United Facility/Professional Professional Modifier Low / Median / High Price $287.06 / $394.10 / $1,183.46	Professional		$287.06	$394.10	$1,183.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.97 / $112.72 / $157.81	Professional	26	$87.97	$112.72	$157.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $191.64 / $263.33 / $1,025.27	Professional	TC	$191.64	$263.33	$1,025.27