Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $146.19 / $146.19 / $197.37	Facility	26	$146.19	$146.19	$197.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.64 / $461.94 / $547.20	Professional		$298.64	$461.94	$547.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.62 / $140.00 / $154.00	Professional	26	$89.62	$140.00	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.30 / $315.74 / $368.50	Professional	TC	$199.30	$315.74	$368.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.07 / $258.97 / $624.97	Professional		$233.07	$258.97	$624.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.12 / $120.60 / $132.69	Professional	26	$80.12	$120.60	$132.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.88 / $204.77 / $439.31	Professional		$135.88	$204.77	$439.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.55 / $113.08 / $133.43	Professional	26	$82.55	$113.08	$133.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.62 / $142.57 / $305.88	Professional	TC	$94.62	$142.57	$305.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.91 / $479.34 / $770.00	Professional		$273.91	$479.34	$770.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.31 / $137.05 / $223.07	Professional	26	$82.31	$137.05	$223.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $185.76 / $314.74 / $525.92	Professional	TC	$185.76	$314.74	$525.92
United Facility/Professional Professional Modifier Low / Median / High Price $310.95 / $440.86 / $1,236.43	Professional		$310.95	$440.86	$1,236.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.34 / $110.48 / $141.18	Professional	26	$71.34	$110.48	$141.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $220.37 / $305.16 / $1,099.06	Professional	TC	$220.37	$305.16	$1,099.06