Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.31 / $94.23 / $127.22	Facility	26	$74.31	$94.23	$127.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $324.24 / $431.27	Professional		$171.00	$324.24	$431.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $72.87 / $98.95	Professional	26	$51.30	$72.87	$98.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $230.00 / $310.50	Professional	TC	$119.70	$230.00	$310.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.56 / $182.64 / $195.19	Professional		$181.56	$182.64	$195.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.36 / $80.11 / $80.11	Professional	26	$48.36	$80.11	$80.11
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $141.52 / $141.52 / $207.90	Professional	TC	$141.52	$141.52	$207.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $192.50 / $413.00	Professional		$127.75	$192.50	$413.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.20 / $140.00 / $165.20	Professional	26	$102.20	$140.00	$165.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.65 / $115.50 / $247.80	Professional	TC	$76.65	$115.50	$247.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.09 / $350.00 / $763.44	Professional		$207.09	$350.00	$763.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.02 / $90.00 / $194.73	Professional	26	$53.02	$90.00	$194.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.07 / $260.75 / $582.32	Professional	TC	$154.07	$260.75	$582.32
United Facility/Professional Professional Modifier Low / Median / High Price $212.48 / $283.30 / $577.63	Professional		$212.48	$283.30	$577.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.07 / $68.93 / $96.50	Professional	26	$54.07	$68.93	$96.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.38 / $211.48 / $494.44	Professional	TC	$154.38	$211.48	$494.44