Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $140.91 / $257.19 / $347.20	Facility	26	$140.91	$257.19	$347.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.94 / $296.83 / $487.96	Professional		$223.94	$296.83	$487.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.78 / $151.16 / $270.04	Professional	26	$125.78	$151.16	$270.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.15 / $145.68 / $217.92	Professional	TC	$98.15	$145.68	$217.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $222.45 / $229.29 / $229.29	Professional		$222.45	$229.29	$229.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $190.24 / $190.24 / $190.24	Professional	26	$190.24	$190.24	$190.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.11 / $307.00 / $362.26	Professional		$224.11	$307.00	$362.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $119.46 / $163.63 / $193.10	Professional	26	$119.46	$163.63	$193.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $104.65 / $143.36 / $169.16	Professional	TC	$104.65	$143.36	$169.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.26 / $340.62 / $917.77	Professional		$265.26	$340.62	$917.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $143.74 / $186.65 / $494.34	Professional	26	$143.74	$186.65	$494.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $121.52 / $153.97 / $423.40	Professional	TC	$121.52	$153.97	$423.40
United Facility/Professional Professional Modifier Low / Median / High Price $216.03 / $292.22 / $377.53	Professional		$216.03	$292.22	$377.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $113.72 / $157.35 / $202.09	Professional	26	$113.72	$157.35	$202.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.38 / $123.16 / $176.71	Professional	TC	$102.38	$123.16	$176.71