Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.25 / $134.25 / $181.25	Facility	26	$134.25	$134.25	$181.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $395.83 / $505.73	Professional		$275.00	$395.83	$505.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $99.45 / $140.97	Professional	26	$55.00	$99.45	$140.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $209.40 / $304.31 / $364.74	Professional	TC	$209.40	$304.31	$364.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $237.22 / $252.04 / $394.56	Professional		$237.22	$252.04	$394.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.69 / $87.34 / $115.42	Professional	26	$69.69	$87.34	$115.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.58 / $269.08 / $577.33	Professional		$178.58	$269.08	$577.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $106.98 / $146.55 / $172.93	Professional	26	$106.98	$146.55	$172.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $125.09 / $188.50 / $404.40	Professional	TC	$125.09	$188.50	$404.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.41 / $422.56 / $704.69	Professional		$254.41	$422.56	$704.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.00 / $121.91 / $249.00	Professional	26	$75.00	$121.91	$249.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $182.73 / $319.39 / $714.94	Professional	TC	$182.73	$319.39	$714.94
United Facility/Professional Professional Modifier Low / Median / High Price $280.14 / $354.85 / $598.62	Professional		$280.14	$354.85	$598.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.87 / $98.58 / $142.35	Professional	26	$76.87	$98.58	$142.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $201.38 / $266.86 / $462.08	Professional	TC	$201.38	$266.86	$462.08