Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $257.19 / $347.20 / $347.20	Facility	26	$257.19	$347.20	$347.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $399.18 / $732.72	Professional		$317.47	$399.18	$732.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.78 / $144.88 / $257.19	Professional	26	$125.78	$144.88	$257.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.65 / $254.31 / $475.53	Professional	TC	$185.65	$254.31	$475.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.84 / $363.84 / $363.84	Professional		$363.84	$363.84	$363.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $112.46 / $112.46 / $112.46	Professional	26	$112.46	$112.46	$112.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.33 / $429.56 / $496.78	Professional		$307.33	$429.56	$496.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.84 / $151.00 / $177.54	Professional	26	$109.84	$151.00	$177.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $197.10 / $279.10 / $318.60	Professional	TC	$197.10	$279.10	$318.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.51 / $418.58 / $1,118.13	Professional		$347.51	$418.58	$1,118.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $143.44 / $186.65 / $494.34	Professional	26	$143.44	$186.65	$494.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $216.05 / $268.20 / $623.79	Professional	TC	$216.05	$268.20	$623.79
United Facility/Professional Professional Modifier Low / Median / High Price $292.29 / $393.13 / $501.07	Professional		$292.29	$393.13	$501.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $114.60 / $156.99 / $199.43	Professional	26	$114.60	$156.99	$199.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $182.40 / $228.48 / $288.33	Professional	TC	$182.40	$228.48	$288.33