Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $381.11 / $381.11 / $514.49	Facility	26	$381.11	$381.11	$514.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.54 / $517.91 / $787.18	Professional		$360.54	$517.91	$787.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $186.34 / $220.12 / $400.16	Professional	26	$186.34	$220.12	$400.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $174.20 / $297.79 / $387.01	Professional	TC	$174.20	$297.79	$387.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $333.53 / $372.10 / $552.41	Professional		$333.53	$372.10	$552.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $166.39 / $178.39 / $280.77	Professional	26	$166.39	$178.39	$280.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.46 / $602.00 / $710.36	Professional		$439.46	$602.00	$710.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $198.25 / $271.58 / $320.45	Professional	26	$198.25	$271.58	$320.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $241.21 / $330.42 / $389.90	Professional	TC	$241.21	$330.42	$389.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.04 / $578.98 / $1,604.31	Professional		$431.04	$578.98	$1,604.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $212.87 / $281.45 / $731.49	Professional	26	$212.87	$281.45	$731.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.16 / $313.39 / $872.81	Professional	TC	$218.16	$313.39	$872.81
United Facility/Professional Professional Modifier Low / Median / High Price $363.04 / $490.20 / $628.12	Professional		$363.04	$490.20	$628.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $169.97 / $232.42 / $297.95	Professional	26	$169.97	$232.42	$297.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $189.85 / $264.89 / $328.96	Professional	TC	$189.85	$264.89	$328.96