Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $153.90 / $153.90 / $207.76	Facility	26	$153.90	$153.90	$207.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $511.77 / $657.36	Professional		$275.00	$511.77	$657.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.30 / $153.90 / $177.43	Professional	26	$75.30	$153.90	$177.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $357.87 / $479.93	Professional	TC	$206.25	$357.87	$479.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.32 / $118.32 / $292.37	Professional		$118.32	$118.32	$292.37
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 $178.85 / $269.50 / $578.20	Professional		$178.85	$269.50	$578.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $138.69 / $190.00 / $224.20	Professional	26	$138.69	$190.00	$224.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.50 / $165.00 / $354.00	Professional	TC	$109.50	$165.00	$354.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.52 / $606.73 / $1,287.16	Professional		$269.52	$606.73	$1,287.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.73 / $129.75 / $297.23	Professional	26	$76.73	$129.75	$297.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $187.06 / $462.99 / $1,120.35	Professional	TC	$187.06	$462.99	$1,120.35
United Facility/Professional Professional Modifier Low / Median / High Price $317.01 / $417.80 / $1,180.64	Professional		$317.01	$417.80	$1,180.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.98 / $105.24 / $143.63	Professional	26	$83.98	$105.24	$143.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $220.92 / $303.44 / $1,053.26	Professional	TC	$220.92	$303.44	$1,053.26