Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.71 / $157.00 / $211.95	Facility	26	$119.71	$157.00	$211.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.86 / $513.00 / $628.50	Professional		$296.86	$513.00	$628.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $157.00 / $181.91	Professional	26	$68.75	$157.00	$181.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $356.00 / $441.54	Professional	TC	$206.25	$356.00	$441.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $237.49 / $393.34	Professional		$71.25	$237.49	$393.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $76.48 / $115.10 / $126.67	Professional	26	$76.48	$115.10	$126.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.38 / $371.25 / $796.50	Professional		$246.38	$371.25	$796.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $148.19 / $203.00 / $239.54	Professional	26	$148.19	$203.00	$239.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $172.28 / $259.60 / $556.96	Professional	TC	$172.28	$259.60	$556.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.35 / $600.00 / $1,262.38	Professional		$285.35	$600.00	$1,262.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.10 / $148.13 / $306.39	Professional	26	$84.10	$148.13	$306.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $196.98 / $451.93 / $1,071.53	Professional	TC	$196.98	$451.93	$1,071.53
United Facility/Professional Professional Modifier Low / Median / High Price $305.95 / $430.09 / $1,190.04	Professional		$305.95	$430.09	$1,190.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.15 / $107.68 / $150.75	Professional	26	$86.15	$107.68	$150.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $219.81 / $301.92 / $1,056.08	Professional	TC	$219.81	$301.92	$1,056.08