Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $416.91 / $708.41 / $956.35	Facility	26	$416.91	$708.41	$956.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,400.29 / $2,326.09 / $3,081.76	Professional		$1,400.29	$2,326.09	$3,081.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $346.55 / $405.68 / $743.83	Professional	26	$346.55	$405.68	$743.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,053.74 / $1,920.41 / $2,337.92	Professional	TC	$1,053.74	$1,920.41	$2,337.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,271.59 / $1,418.63 / $2,106.09	Professional		$1,271.59	$1,418.63	$2,106.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $310.31 / $332.66 / $523.65	Professional	26	$310.31	$332.66	$523.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,338.04 / $1,832.93 / $2,162.86	Professional		$1,338.04	$1,832.93	$2,162.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $302.83 / $414.85 / $489.52	Professional	26	$302.83	$414.85	$489.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,035.20 / $1,418.08 / $1,673.33	Professional	TC	$1,035.20	$1,418.08	$1,673.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $439.65 / $439.65 / $439.65	Facility	26	$439.65	$439.65	$439.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,615.35 / $2,182.23 / $3,841.44	Professional		$1,615.35	$2,182.23	$3,841.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $417.37 / $493.80 / $869.78	Professional	26	$417.37	$493.80	$869.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,240.55 / $1,688.45 / $4,700.25	Professional	TC	$1,240.55	$1,688.45	$4,700.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,364.44 / $1,943.82 / $2,486.76	Professional		$1,364.44	$1,943.82	$2,486.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $315.88 / $424.24 / $519.25	Professional	26	$315.88	$424.24	$519.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,031.29 / $1,413.64 / $1,993.84	Professional	TC	$1,031.29	$1,413.64	$1,993.84