Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.00 / $153.90 / $207.76	Facility	26	$114.00	$153.90	$207.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $587.44 / $724.60	Professional		$275.00	$587.44	$724.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $153.90 / $177.43	Professional	26	$68.75	$153.90	$177.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $433.54 / $547.16	Professional	TC	$206.25	$433.54	$547.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.33 / $268.57 / $446.88	Professional		$260.33	$268.57	$446.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $74.95 / $87.08 / $112.82	Professional	26	$74.95	$87.08	$112.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.05 / $357.19 / $766.34	Professional		$237.05	$357.19	$766.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $114.45 / $156.78 / $185.00	Professional	26	$114.45	$156.78	$185.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $179.82 / $270.95 / $581.34	Professional	TC	$179.82	$270.95	$581.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.64 / $571.41 / $1,196.36	Professional		$324.64	$571.41	$1,196.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.46 / $144.81 / $288.00	Professional	26	$82.46	$144.81	$288.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $238.05 / $420.00 / $1,014.48	Professional	TC	$238.05	$420.00	$1,014.48
United Facility/Professional Professional Modifier Low / Median / High Price $343.76 / $481.81 / $1,147.73	Professional		$343.76	$481.81	$1,147.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.98 / $105.56 / $146.91	Professional	26	$83.98	$105.56	$146.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $263.20 / $348.63 / $1,019.89	Professional	TC	$263.20	$348.63	$1,019.89