Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $104.71 / $104.71	Facility	26	$104.71	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $691.83	Professional		$275.42	$426.58	$691.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $102.33 / $288.40	Professional	26	$54.95	$102.33	$288.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $354.81 / $562.34	Professional	TC	$190.55	$354.81	$562.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $102.33 / $102.33	Professional	26	$102.33	$102.33	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $512.86	Professional		$302.00	$436.52	$512.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $81.28 / $97.72	Professional	26	$57.54	$81.28	$97.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $346.74 / $416.87	Professional	TC	$245.47	$346.74	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $1,348.96	Professional		$416.87	$549.54	$1,348.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $112.20 / $263.03	Professional	26	$77.62	$112.20	$263.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $446.68 / $1,096.48	Professional	TC	$331.13	$446.68	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $549.54	Professional		$302.00	$416.87	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $72.44 / $109.65	Professional	26	$58.88	$72.44	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $323.59 / $457.09	Professional	TC	$234.42	$323.59	$457.09