Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $154.88 / $154.88	Facility	26	$95.50	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $501.19 / $1,202.26	Professional		$223.87	$501.19	$1,202.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $181.97 / $331.13	Professional	26	$97.72	$181.97	$331.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $416.87 / $794.33	Professional	TC	$257.04	$416.87	$794.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $114.82 / $141.25	Professional	26	$89.13	$114.82	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $691.83 / $812.83	Professional		$251.19	$691.83	$812.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $158.49 / $199.53	Professional	26	$109.65	$158.49	$199.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $537.03 / $630.96	Professional	TC	$194.98	$537.03	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $1,348.96	Professional		$407.38	$602.56	$1,348.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $154.88 / $269.15	Professional	26	$97.72	$154.88	$269.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $467.74 / $1,122.02	Professional	TC	$316.23	$467.74	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $1,202.26	Professional		$363.08	$537.03	$1,202.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $104.71 / $169.82	Professional	26	$79.43	$104.71	$169.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $398.11 / $1,047.13	Professional	TC	$281.84	$398.11	$1,047.13