Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $154.88 / $154.88	Facility	26	$93.33	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $426.58 / $1,071.52	Professional		$177.83	$426.58	$1,071.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $190.55 / $478.63	Professional	26	$95.50	$190.55	$478.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $354.81 / $812.83	Professional	TC	$239.88	$354.81	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $257.04 / $295.12	Professional		$234.42	$257.04	$295.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $112.20 / $144.54	Professional	26	$57.54	$112.20	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $489.78 / $575.44	Professional		$177.83	$489.78	$575.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $190.55 / $223.87	Professional	26	$120.23	$190.55	$223.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $302.00 / $354.81	Professional	TC	$109.65	$302.00	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $602.56 / $1,202.26	Professional		$354.81	$602.56	$1,202.26
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 $263.03 / $457.09 / $1,047.13	Professional	TC	$263.03	$457.09	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $1,202.26	Professional		$302.00	$436.52	$1,202.26
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 $218.78 / $316.23 / $1,047.13	Professional	TC	$218.78	$316.23	$1,047.13