Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.59 / $117.59 / $117.60	Facility	26	$117.59	$117.59	$117.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $476.37 / $588.12	Professional		$275.00	$476.37	$588.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $122.79 / $141.00	Professional	26	$68.75	$122.79	$141.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $358.77 / $443.33	Professional	TC	$206.25	$358.77	$443.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.30 / $269.30 / $269.30	Professional		$269.30	$269.30	$269.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.54 / $84.82 / $84.82	Professional	26	$56.54	$84.82	$84.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.88 / $319.27 / $684.99	Professional		$211.88	$319.27	$684.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $128.79 / $176.43 / $208.19	Professional	26	$128.79	$176.43	$208.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.49 / $222.24 / $476.80	Professional	TC	$147.49	$222.24	$476.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.73 / $475.00 / $937.47	Professional		$263.73	$475.00	$937.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.93 / $109.87 / $227.27	Professional	26	$61.93	$109.87	$227.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $198.32 / $350.00 / $748.56	Professional	TC	$198.32	$350.00	$748.56
United Facility/Professional Professional Modifier Low / Median / High Price $286.50 / $372.08 / $761.87	Professional		$286.50	$372.08	$761.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.80 / $80.33 / $110.67	Professional	26	$62.80	$80.33	$110.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $222.03 / $288.35 / $665.52	Professional	TC	$222.03	$288.35	$665.52