Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.98 / $97.76 / $131.97	Facility	26	$70.98	$97.76	$131.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $429.87 / $546.25	Professional		$275.00	$429.87	$546.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $97.76 / $140.00	Professional	26	$68.75	$97.76	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $330.28 / $405.67	Professional	TC	$206.25	$330.28	$405.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $226.14 / $258.66 / $549.41	Professional		$226.14	$258.66	$549.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.07 / $58.94 / $70.73	Professional	26	$47.07	$58.94	$70.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.21 / $229.35 / $492.06	Professional		$152.21	$229.35	$492.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.68 / $81.76 / $96.48	Professional	26	$59.68	$81.76	$96.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $122.36 / $184.38 / $395.58	Professional	TC	$122.36	$184.38	$395.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.67 / $433.45 / $907.94	Professional		$254.67	$433.45	$907.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.65 / $91.68 / $188.08	Professional	26	$51.65	$91.68	$188.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.93 / $341.15 / $722.46	Professional	TC	$199.93	$341.15	$722.46
United Facility/Professional Professional Modifier Low / Median / High Price $275.94 / $361.22 / $695.13	Professional		$275.94	$361.22	$695.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.97 / $66.61 / $91.35	Professional	26	$51.97	$66.61	$91.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $216.81 / $305.74 / $591.47	Professional	TC	$216.81	$305.74	$591.47