Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $154.88 / $154.88	Facility	26	$154.88	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $501.19 / $1,202.26	Professional		$234.42	$501.19	$1,202.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $190.55 / $436.52	Professional	26	$100.00	$190.55	$436.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $436.52 / $1,000.00	Professional	TC	$263.03	$436.52	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $120.23 / $144.54	Professional	26	$107.15	$120.23	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $616.60 / $724.44	Professional		$223.87	$616.60	$724.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $147.91 / $190.55	Professional	26	$104.71	$147.91	$190.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $467.74 / $549.54	Professional	TC	$169.82	$467.74	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $1,288.25	Professional		$416.87	$602.56	$1,288.25
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 $309.03 / $467.74 / $1,047.13	Professional	TC	$309.03	$467.74	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $1,174.90	Professional		$346.74	$501.19	$1,174.90
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 $263.03 / $371.54 / $1,023.29	Professional	TC	$263.03	$371.54	$1,023.29