Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.31 / $96.81 / $130.69	Facility	26	$71.31	$96.81	$130.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $371.48 / $475.00	Professional		$275.00	$371.48	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $96.82 / $140.00	Professional	26	$68.75	$96.82	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $262.39 / $340.00	Professional	TC	$206.25	$262.39	$340.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.08 / $167.86 / $215.96	Professional		$151.08	$167.86	$215.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.85 / $46.85 / $105.59	Professional	26	$46.85	$46.85	$105.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.83 / $233.31 / $500.56	Professional		$154.83	$233.31	$500.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.31 / $99.06 / $116.89	Professional	26	$72.31	$99.06	$116.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $118.68 / $178.83 / $383.67	Professional	TC	$118.68	$178.83	$383.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.21 / $431.53 / $809.46	Professional		$188.21	$431.53	$809.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.39 / $91.23 / $188.08	Professional	26	$51.39	$91.23	$188.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.00 / $335.99 / $695.74	Professional	TC	$134.00	$335.99	$695.74
United Facility/Professional Professional Modifier Low / Median / High Price $201.47 / $275.49 / $686.20	Professional		$201.47	$275.49	$686.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.70 / $66.29 / $91.83	Professional	26	$51.70	$66.29	$91.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.38 / $205.44 / $606.29	Professional	TC	$148.38	$205.44	$606.29