Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.31 / $98.23 / $132.62	Facility	26	$71.31	$98.23	$132.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $335.12 / $475.00	Professional		$275.00	$335.12	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.40 / $98.24 / $140.00	Professional	26	$66.40	$98.24	$140.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $137.50 / $152.13 / $212.50	Professional	52	$137.50	$152.13	$212.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.03 / $224.67 / $340.00	Professional	TC	$206.03	$224.67	$340.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $143.31 / $238.17	Professional		$42.99	$143.31	$238.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.07 / $70.73 / $77.95	Professional	26	$47.07	$70.73	$77.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.47 / $246.32 / $528.46	Professional		$163.47	$246.32	$528.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.38 / $147.10 / $173.58	Professional	26	$107.38	$147.10	$173.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.78 / $165.42 / $354.89	Professional	TC	$109.78	$165.42	$354.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.18 / $393.33 / $769.33	Professional		$167.18	$393.33	$769.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.65 / $92.13 / $190.59	Professional	26	$51.65	$92.13	$190.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.56 / $275.73 / $666.89	Professional	TC	$116.56	$275.73	$666.89
United Facility/Professional Professional Modifier Low / Median / High Price $179.80 / $252.74 / $673.53	Professional		$179.80	$252.74	$673.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $67.45 / $91.73	Professional	26	$52.78	$67.45	$91.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.61 / $163.13 / $589.38	Professional	TC	$125.61	$163.13	$589.38