Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.37 / $154.37 / $154.37	Facility	26	$154.37	$154.37	$154.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $589.30 / $662.87	Professional		$275.00	$589.30	$662.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $154.37 / $174.04	Professional	26	$68.75	$154.37	$174.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $434.94 / $498.72	Professional	TC	$206.25	$434.94	$498.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $289.98 / $289.98 / $289.98	Professional		$289.98	$289.98	$289.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $74.95 / $112.82 / $124.15	Professional	26	$74.95	$112.82	$124.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.57 / $339.90 / $729.24	Professional		$225.57	$339.90	$729.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.08 / $149.43 / $176.33	Professional	26	$109.08	$149.43	$176.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $171.03 / $257.72 / $552.91	Professional	TC	$171.03	$257.72	$552.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.00 / $569.76 / $1,198.94	Professional		$326.00	$569.76	$1,198.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.46 / $144.81 / $281.00	Professional	26	$82.46	$144.81	$281.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.12 / $420.00 / $1,017.57	Professional	TC	$239.12	$420.00	$1,017.57
United Facility/Professional Professional Modifier Low / Median / High Price $353.48 / $459.06 / $1,147.73	Professional		$353.48	$459.06	$1,147.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.29 / $105.56 / $146.44	Professional	26	$82.29	$105.56	$146.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $269.00 / $349.35 / $955.23	Professional	TC	$269.00	$349.35	$955.23