Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $97.72 / $97.72	Facility	26	$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $426.58 / $891.25	Professional		$125.89	$426.58	$891.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $131.83 / $288.40	Professional	26	$64.57	$131.83	$288.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $338.84 / $691.83	Professional	TC	$208.93	$338.84	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $229.09 / $275.42	Professional		$208.93	$229.09	$275.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $67.61 / $91.20	Professional	26	$46.77	$67.61	$91.20
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $177.83 / $186.21	Professional	TC	$151.36	$177.83	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $416.87 / $489.78	Professional		$151.36	$416.87	$489.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $81.28 / $104.71	Professional	26	$57.54	$81.28	$104.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $338.84 / $398.11	Professional	TC	$123.03	$338.84	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $870.96	Professional		$331.13	$457.09	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $100.00 / $181.97	Professional	26	$61.66	$100.00	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $354.81 / $758.58	Professional	TC	$234.42	$354.81	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $691.83	Professional		$269.15	$371.54	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $66.07 / $107.15	Professional	26	$50.12	$66.07	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $309.03 / $602.56	Professional	TC	$218.78	$309.03	$602.56