Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $104.71 / $104.71	Facility	26	$63.10	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $407.38 / $870.96	Professional		$213.80	$407.38	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $128.82 / $218.78	Professional	26	$66.07	$128.82	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $257.04 / $501.19	Professional	TC	$141.25	$257.04	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $158.49	Professional		$151.36	$151.36	$158.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $81.28 / $112.20	Professional	26	$50.12	$81.28	$112.20
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $630.96 / $630.96 / $630.96	Professional	TC	$630.96	$630.96	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $426.58 / $512.86	Professional		$158.49	$426.58	$512.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $158.49 / $204.17	Professional	26	$109.65	$158.49	$204.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $275.42 / $323.59	Professional	TC	$100.00	$275.42	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $398.11 / $724.44	Professional		$218.78	$398.11	$724.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $104.71 / $181.97	Professional	26	$67.61	$104.71	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $309.03 / $575.44	Professional	TC	$154.88	$309.03	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $645.65	Professional		$177.83	$251.19	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $72.44 / $114.82	Professional	26	$54.95	$72.44	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $169.82 / $524.81	Professional	TC	$117.49	$169.82	$524.81