Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.43 / $105.43 / $142.33	Facility	26	$105.43	$105.43	$142.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $383.14 / $475.00	Professional		$275.00	$383.14	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $105.43 / $140.00	Professional	26	$68.75	$105.43	$140.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $137.50 / $173.95 / $225.00	Professional	52	$137.50	$173.95	$225.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $264.44 / $340.00	Professional	TC	$206.25	$264.44	$340.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.08 / $155.08 / $416.49	Professional		$155.08	$155.08	$416.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.74 / $76.28 / $84.04	Professional	26	$50.74	$76.28	$84.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $242.55 / $520.38	Professional		$160.97	$242.55	$520.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.36 / $132.00 / $155.76	Professional	26	$96.36	$132.00	$155.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.79 / $169.95 / $364.62	Professional	TC	$112.79	$169.95	$364.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.27 / $440.24 / $825.79	Professional		$193.27	$440.24	$825.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.71 / $98.83 / $201.00	Professional	26	$55.71	$98.83	$201.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.27 / $337.92 / $703.10	Professional	TC	$134.27	$337.92	$703.10
United Facility/Professional Professional Modifier Low / Median / High Price $202.73 / $294.60 / $698.42	Professional		$202.73	$294.60	$698.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.18 / $72.91 / $99.08	Professional	26	$57.18	$72.91	$99.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $150.33 / $208.13 / $611.94	Professional	TC	$150.33	$208.13	$611.94