Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $237.88 / $381.11 / $514.49	Facility	26	$237.88	$381.11	$514.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.81 / $613.49 / $814.09	Professional		$372.81	$613.49	$814.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $186.34 / $231.59 / $400.16	Professional	26	$186.34	$231.59	$400.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.47 / $381.89 / $413.93	Professional	TC	$186.47	$381.89	$413.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $362.11 / $380.21 / $506.36	Professional		$362.11	$380.21	$506.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $174.63 / $232.68 / $275.57	Professional	26	$174.63	$232.68	$275.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $718.32 / $984.00 / $1,161.11	Professional		$718.32	$984.00	$1,161.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $173.74 / $238.00 / $280.83	Professional	26	$173.74	$238.00	$280.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $544.58 / $746.00 / $880.28	Professional	TC	$544.58	$746.00	$880.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $250.87 / $250.87 / $250.87	Facility	26	$250.87	$250.87	$250.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $442.01 / $662.71 / $1,551.58	Professional		$442.01	$662.71	$1,551.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $212.57 / $265.58 / $731.49	Professional	26	$212.57	$265.58	$731.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.43 / $338.27 / $1,002.99	Professional	TC	$229.43	$338.27	$1,002.99
United Facility/Professional Professional Modifier Low / Median / High Price $373.53 / $499.51 / $1,135.52	Professional		$373.53	$499.51	$1,135.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $169.67 / $232.42 / $295.27	Professional	26	$169.67	$232.42	$295.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.21 / $265.62 / $866.21	Professional	TC	$199.21	$265.62	$866.21