Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.31 / $122.31 / $267.83	Facility	26	$122.31	$122.31	$267.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.88 / $353.68 / $451.94	Professional		$264.88	$353.68	$451.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $98.00 / $128.41	Professional	26	$55.00	$98.00	$128.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.61 / $250.83 / $323.51	Professional	TC	$185.61	$250.83	$323.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $205.20 / $225.16 / $350.98	Professional		$205.20	$225.16	$350.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.43 / $79.76 / $105.05	Professional	26	$63.43	$79.76	$105.05
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $157.77 / $157.77 / $250.57	Professional	TC	$157.77	$157.77	$250.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.32 / $203.91 / $437.47	Professional		$135.32	$203.91	$437.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $108.89 / $149.16 / $176.02	Professional	26	$108.89	$149.16	$176.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $80.88 / $121.87 / $261.45	Professional	TC	$80.88	$121.87	$261.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.87 / $358.80 / $622.84	Professional		$226.87	$358.80	$622.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.40 / $110.39 / $227.00	Professional	26	$65.40	$110.39	$227.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $161.83 / $258.54 / $606.14	Professional	TC	$161.83	$258.54	$606.14
United Facility/Professional Professional Modifier Low / Median / High Price $248.54 / $315.77 / $474.17	Professional		$248.54	$315.77	$474.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.09 / $89.80 / $128.93	Professional	26	$70.09	$89.80	$128.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $176.60 / $212.26 / $347.80	Professional	TC	$176.60	$212.26	$347.80