Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $147.91 / $147.91	Facility	26	$95.50	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $478.63 / $1,000.00	Professional		$275.42	$478.63	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $117.49 / $281.84	Professional	26	$75.86	$117.49	$281.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $338.84 / $602.56	Professional	TC	$190.55	$338.84	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $302.00 / $346.74	Professional		$269.15	$302.00	$346.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $120.23 / $162.18	Professional	26	$77.62	$120.23	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $478.63 / $562.34	Professional		$173.78	$478.63	$562.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $141.25 / $165.96	Professional	26	$100.00	$141.25	$165.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $338.84 / $398.11	Professional	TC	$123.03	$338.84	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $537.03 / $1,047.13	Professional		$323.59	$537.03	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $138.04 / $302.00	Professional	26	$93.33	$138.04	$302.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $426.58 / $831.76	Professional	TC	$229.09	$426.58	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $776.25	Professional		$309.03	$436.52	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $109.65 / $162.18	Professional	26	$83.18	$109.65	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $316.23 / $630.96	Professional	TC	$218.78	$316.23	$630.96