Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $85.11 / $85.11	Facility	26	$56.23	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $588.84	Professional		$204.17	$316.23	$588.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $102.33 / $173.78	Professional	26	$54.95	$102.33	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $229.09 / $467.74	Professional	TC	$138.04	$229.09	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $181.97 / $208.93	Professional		$81.28	$181.97	$208.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $69.18 / $93.33	Professional	26	$44.67	$69.18	$93.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $125.89 / $125.89	Professional	TC	$125.89	$125.89	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $288.40 / $338.84	Professional		$104.71	$288.40	$338.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $114.82 / $147.91	Professional	26	$81.28	$114.82	$147.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $173.78 / $204.17	Professional	TC	$63.10	$173.78	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $645.65	Professional		$213.80	$323.59	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $83.18 / $177.83	Professional	26	$58.88	$83.18	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $245.47 / $478.63	Professional	TC	$158.49	$245.47	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $457.09	Professional		$186.21	$251.19	$457.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $63.10 / $93.33	Professional	26	$47.86	$63.10	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $190.55 / $371.54	Professional	TC	$131.83	$190.55	$371.54