Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $128.82 / $144.54	Facility	26	$107.15	$128.82	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $707.95	Professional		$263.03	$426.58	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $114.82 / $190.55	Professional	26	$67.61	$114.82	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $316.23 / $537.03	Professional	TC	$199.53	$316.23	$537.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $61.66 / $75.86	Professional	26	$61.66	$61.66	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $501.19	Professional		$338.84	$389.05	$501.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $102.33 / $131.83	Professional	26	$89.13	$102.33	$131.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $288.40 / $371.54	Professional	TC	$251.19	$288.40	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $616.60 / $912.01	Professional		$323.59	$616.60	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $117.49 / $186.21	Professional	26	$79.43	$117.49	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $478.63 / $758.58	Professional	TC	$239.88	$478.63	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $870.96	Professional		$316.23	$537.03	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $95.50 / $162.18	Professional	26	$75.86	$95.50	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $380.19 / $758.58	Professional	TC	$234.42	$380.19	$758.58