Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $146.25 / $146.25 / $197.43	Facility	26	$146.25	$146.25	$197.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $512.36 / $559.58	Professional		$275.00	$512.36	$559.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $106.79 / $153.56	Professional	26	$55.00	$106.79	$153.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $220.00 / $386.69 / $421.11	Professional	TC	$220.00	$386.69	$421.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.27 / $287.17 / $694.48	Professional		$251.27	$287.17	$694.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $76.18 / $105.12 / $152.35	Professional	26	$76.18	$105.12	$152.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.86 / $263.48 / $565.29	Professional		$174.86	$263.48	$565.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $103.61 / $141.93 / $167.48	Professional	26	$103.61	$141.93	$167.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.06 / $185.43 / $397.81	Professional	TC	$123.06	$185.43	$397.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.00 / $510.39 / $877.52	Professional		$284.00	$510.39	$877.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.22 / $135.82 / $294.74	Professional	26	$78.22	$135.82	$294.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $205.78 / $400.92 / $790.98	Professional	TC	$205.78	$400.92	$790.98
United Facility/Professional Professional Modifier Low / Median / High Price $308.57 / $411.42 / $776.44	Professional		$308.57	$411.42	$776.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.91 / $107.55 / $154.66	Professional	26	$83.91	$107.55	$154.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $222.80 / $299.54 / $630.74	Professional	TC	$222.80	$299.54	$630.74