Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.61 / $117.59 / $158.75	Facility	26	$85.61	$117.59	$158.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $475.43 / $581.42	Professional		$275.00	$475.43	$581.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $117.60 / $141.00	Professional	26	$68.75	$117.60	$141.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $357.83 / $442.74	Professional	TC	$206.25	$357.83	$442.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.37 / $210.37 / $233.75	Professional		$210.37	$210.37	$233.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.45 / $56.45 / $84.82	Professional	26	$56.45	$56.45	$84.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.07 / $319.55 / $685.58	Professional		$212.07	$319.55	$685.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.20 / $140.00 / $165.20	Professional	26	$102.20	$140.00	$165.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $160.97 / $242.55 / $520.38	Professional	TC	$160.97	$242.55	$520.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.45 / $475.00 / $936.52	Professional		$263.45	$475.00	$936.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.93 / $109.87 / $213.00	Professional	26	$61.93	$109.87	$213.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $197.79 / $350.00 / $746.73	Professional	TC	$197.79	$350.00	$746.73
United Facility/Professional Professional Modifier Low / Median / High Price $278.52 / $389.65 / $757.64	Professional		$278.52	$389.65	$757.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.80 / $80.33 / $110.19	Professional	26	$62.80	$80.33	$110.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $221.48 / $287.63 / $661.28	Professional	TC	$221.48	$287.63	$661.28