Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.40 / $139.52 / $188.35	Facility	26	$81.40	$139.52	$188.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.71 / $594.37 / $772.54	Professional		$350.71	$594.37	$772.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.73 / $79.06 / $146.49	Professional	26	$67.73	$79.06	$146.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $282.55 / $515.29 / $626.04	Professional	TC	$282.55	$515.29	$626.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $301.89 / $325.22 / $445.87	Professional		$301.89	$325.22	$445.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.52 / $64.39 / $102.26	Professional	26	$60.52	$64.39	$102.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.47 / $484.20 / $571.36	Professional		$353.47	$484.20	$571.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.55 / $81.56 / $96.25	Professional	26	$59.55	$81.56	$96.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $293.92 / $402.63 / $475.10	Professional	TC	$293.92	$402.63	$475.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.84 / $85.84 / $85.84	Facility	26	$85.84	$85.84	$85.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.79 / $572.95 / $1,593.30	Professional		$404.79	$572.95	$1,593.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.65 / $101.50 / $267.32	Professional	26	$77.65	$101.50	$267.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $317.75 / $476.64 / $1,325.98	Professional	TC	$317.75	$476.64	$1,325.98
United Facility/Professional Professional Modifier Low / Median / High Price $351.75 / $491.44 / $604.13	Professional		$351.75	$491.44	$604.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.17 / $83.15 / $101.86	Professional	26	$62.17	$83.15	$101.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.14 / $403.63 / $477.96	Professional	TC	$288.14	$403.63	$477.96