Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.32 / $133.25 / $143.55	Facility	26	$107.32	$133.25	$143.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.62 / $549.21 / $669.97	Professional		$344.62	$549.21	$669.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.04 / $140.00 / $145.65	Professional	26	$84.04	$140.00	$145.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $260.58 / $424.84 / $541.13	Professional	TC	$260.58	$424.84	$541.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.03 / $75.03 / $75.03	Professional	26	$75.03	$75.03	$75.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.94 / $452.57 / $502.85	Professional		$341.94	$452.57	$502.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.11 / $117.94 / $131.04	Professional	26	$89.11	$117.94	$131.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $252.83 / $334.63 / $371.81	Professional	TC	$252.83	$334.63	$371.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.75 / $625.17 / $885.67	Professional		$340.75	$625.17	$885.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.12 / $118.17 / $176.33	Professional	26	$79.12	$118.17	$176.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $258.19 / $479.24 / $751.15	Professional	TC	$258.19	$479.24	$751.15
United Facility/Professional Professional Modifier Low / Median / High Price $339.43 / $555.66 / $706.02	Professional		$339.43	$555.66	$706.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.90 / $100.76 / $167.10	Professional	26	$79.90	$100.76	$167.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $241.92 / $420.83 / $653.95	Professional	TC	$241.92	$420.83	$653.95