Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.71 / $157.46 / $212.58	Facility	26	$119.71	$157.46	$212.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.73 / $512.07 / $626.15	Professional		$295.73	$512.07	$626.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $157.47 / $181.91	Professional	26	$85.00	$157.47	$181.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $354.60 / $439.19	Professional	TC	$206.25	$354.60	$439.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $236.59 / $614.67	Professional		$229.09	$236.59	$614.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $76.48 / $105.48 / $126.67	Professional	26	$76.48	$105.48	$126.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.24 / $351.45 / $754.02	Professional		$233.24	$351.45	$754.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $140.16 / $192.00 / $226.56	Professional	26	$140.16	$192.00	$226.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $163.16 / $245.85 / $527.46	Professional	TC	$163.16	$245.85	$527.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.27 / $599.91 / $1,261.33	Professional		$284.27	$599.91	$1,261.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.10 / $148.13 / $291.00	Professional	26	$84.10	$148.13	$291.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $195.91 / $450.69 / $1,070.50	Professional	TC	$195.91	$450.69	$1,070.50
United Facility/Professional Professional Modifier Low / Median / High Price $305.39 / $429.33 / $1,189.57	Professional		$305.39	$429.33	$1,189.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.91 / $107.68 / $154.16	Professional	26	$83.91	$107.68	$154.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $219.25 / $303.61 / $1,055.60	Professional	TC	$219.25	$303.61	$1,055.60