Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $117.49 / $117.49	Facility	26	$70.79	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $478.63 / $870.96	Professional		$190.55	$478.63	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $141.25 / $309.03	Professional	26	$77.62	$141.25	$309.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $354.81 / $660.69	Professional	TC	$223.87	$354.81	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $79.43 / $109.65	Professional	26	$56.23	$79.43	$109.65
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $181.97 / $181.97	Professional	TC	$181.97	$181.97	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $575.44 / $691.83	Professional		$213.80	$575.44	$691.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $177.83 / $223.87	Professional	26	$123.03	$177.83	$223.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $407.38 / $478.63	Professional	TC	$147.91	$407.38	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $977.24	Professional		$338.84	$501.19	$977.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $117.49 / $204.17	Professional	26	$74.13	$117.49	$204.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $371.54 / $776.25	Professional	TC	$257.04	$371.54	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $758.58	Professional		$281.84	$407.38	$758.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $79.43 / $128.82	Professional	26	$61.66	$79.43	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $309.03 / $660.69	Professional	TC	$213.80	$309.03	$660.69