Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $178.36 / $178.36 / $240.78	Facility	26	$178.36	$178.36	$240.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.43 / $458.97 / $708.93	Professional		$322.43	$458.97	$708.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.13 / $103.42 / $187.27	Professional	26	$87.13	$103.42	$187.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $235.30 / $355.54 / $521.66	Professional	TC	$235.30	$355.54	$521.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $298.31 / $298.31 / $298.31	Professional		$298.31	$298.31	$298.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $82.38 / $82.38 / $83.14	Professional	26	$82.38	$82.38	$83.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.68 / $437.92 / $516.75	Professional		$319.68	$437.92	$516.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.38 / $104.63 / $123.46	Professional	26	$76.38	$104.63	$123.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $243.30 / $333.29 / $393.28	Professional	TC	$243.30	$333.29	$393.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.00 / $523.10 / $1,448.99	Professional		$371.00	$523.10	$1,448.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.34 / $128.53 / $342.08	Professional	26	$99.34	$128.53	$342.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $271.66 / $399.30 / $1,106.92	Professional	TC	$271.66	$399.30	$1,106.92
United Facility/Professional Professional Modifier Low / Median / High Price $336.43 / $437.78 / $571.76	Professional		$336.43	$437.78	$571.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.83 / $109.35 / $137.37	Professional	26	$79.83	$109.35	$137.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $249.87 / $345.43 / $433.26	Professional	TC	$249.87	$345.43	$433.26