Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $257.04 / $257.04	Facility	26	$144.54	$257.04	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $630.96	Professional		$181.97	$302.00	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $257.04 / $537.03	Professional	26	$128.82	$257.04	$537.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $141.25 / $295.12	Professional	TC	$85.11	$141.25	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $223.87	Professional		$218.78	$218.78	$223.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $123.03 / $194.98	Professional	26	$123.03	$123.03	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $363.08	Professional		$213.80	$309.03	$363.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $162.18 / $194.98	Professional	26	$114.82	$162.18	$194.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $144.54 / $169.82	Professional	TC	$100.00	$144.54	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $575.44	Professional		$263.03	$338.84	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $186.21 / $316.23	Professional	26	$151.36	$186.21	$316.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $151.36 / $263.03	Professional	TC	$125.89	$151.36	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $380.19	Professional		$213.80	$295.12	$380.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $158.49 / $208.93	Professional	26	$114.82	$158.49	$208.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $134.90 / $177.83	Professional	TC	$100.00	$134.90	$177.83