Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $398.11 / $707.95 / $707.95	Facility	26	$398.11	$707.95	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,454.71 / $5,623.41	Professional		$1,380.38	$2,454.71	$5,623.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $281.84 / $549.54 / $1,445.44	Professional	26	$281.84	$549.54	$1,445.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,047.13 / $1,584.89 / $3,235.94	Professional	TC	$1,047.13	$1,584.89	$3,235.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $2,089.30	Professional		$1,348.96	$1,479.11	$2,089.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $331.13 / $371.54 / $524.81	Professional	26	$331.13	$371.54	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $2,187.76	Professional		$1,288.25	$1,819.70	$2,187.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $288.40 / $416.87 / $489.78	Professional	26	$288.40	$416.87	$489.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,000.00 / $1,412.54 / $1,659.59	Professional	TC	$1,000.00	$1,412.54	$1,659.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $436.52 / $436.52 / $436.52	Facility	26	$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $3,467.37	Professional		$1,659.59	$2,187.76	$3,467.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $416.87 / $489.78 / $794.33	Professional	26	$416.87	$489.78	$794.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,288.25 / $1,698.24 / $2,951.21	Professional	TC	$1,288.25	$1,698.24	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $2,511.89	Professional		$1,288.25	$1,949.84	$2,511.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $316.23 / $436.52 / $575.44	Professional	26	$316.23	$436.52	$575.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,023.29 / $1,513.56 / $1,995.26	Professional	TC	$1,023.29	$1,513.56	$1,995.26