Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.00 / $128.00 / $172.80	Facility	26	$128.00	$128.00	$172.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $506.42 / $621.36	Professional		$275.00	$506.42	$621.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $128.00 / $152.58	Professional	26	$68.75	$128.00	$152.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $378.42 / $471.53	Professional	TC	$206.25	$378.42	$471.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.79 / $77.79 / $77.79	Professional	26	$77.79	$77.79	$77.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.85 / $269.50 / $578.20	Professional		$178.85	$269.50	$578.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $138.69 / $190.00 / $224.20	Professional	26	$138.69	$190.00	$224.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.50 / $165.00 / $354.00	Professional	TC	$109.50	$165.00	$354.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.14 / $496.12 / $1,004.96	Professional		$283.14	$496.12	$1,004.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.17 / $120.83 / $249.91	Professional	26	$68.17	$120.83	$249.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $211.37 / $368.33 / $755.05	Professional	TC	$211.37	$368.33	$755.05
United Facility/Professional Professional Modifier Low / Median / High Price $295.31 / $393.74 / $737.90	Professional		$295.31	$393.74	$737.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.15 / $87.79 / $120.48	Professional	26	$67.15	$87.79	$120.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $232.87 / $302.43 / $630.74	Professional	TC	$232.87	$302.43	$630.74