Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.52 / $158.25 / $213.65	Facility	26	$129.52	$158.25	$213.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.24 / $388.26 / $499.91	Professional		$228.24	$388.26	$499.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $122.79 / $166.17	Professional	26	$55.00	$122.79	$166.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.40 / $230.00 / $328.03	Professional	TC	$154.40	$230.00	$328.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $270.08 / $270.08 / $310.35	Professional		$270.08	$270.08	$310.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $82.25 / $123.82 / $136.24	Professional	26	$82.25	$123.82	$136.24
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $208.45 / $208.45 / $208.45	Professional	TC	$208.45	$208.45	$208.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.51 / $267.48 / $573.86	Professional		$177.51	$267.48	$573.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.74 / $138.00 / $162.84	Professional	26	$100.74	$138.00	$162.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $127.14 / $191.58 / $411.02	Professional	TC	$127.14	$191.58	$411.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.00 / $475.80 / $1,111.46	Professional		$324.00	$475.80	$1,111.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.65 / $137.83 / $287.64	Professional	26	$84.65	$137.83	$287.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $224.21 / $345.37 / $760.43	Professional	TC	$224.21	$345.37	$760.43
United Facility/Professional Professional Modifier Low / Median / High Price $322.02 / $428.93 / $819.21	Professional		$322.02	$428.93	$819.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $90.68 / $116.37 / $168.59	Professional	26	$90.68	$116.37	$168.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $240.79 / $329.86 / $674.92	Professional	TC	$240.79	$329.86	$674.92