Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.73 / $53.50 / $72.23	Facility	26	$45.73	$53.50	$72.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.62 / $352.69 / $370.32	Professional		$229.62	$352.69	$370.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.75 / $53.51 / $56.18	Professional	26	$36.75	$53.51	$56.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.87 / $299.18 / $314.13	Professional	TC	$192.87	$299.18	$314.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.41 / $180.41 / $180.41	Professional		$180.41	$180.41	$180.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.37 / $29.37 / $48.64	Professional	26	$29.37	$29.37	$48.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $330.00 / $363.00	Professional		$231.00	$330.00	$363.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.90 / $87.00 / $95.70	Professional	26	$60.90	$87.00	$95.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $170.10 / $243.00 / $267.30	Professional	TC	$170.10	$243.00	$267.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.77 / $373.00 / $1,367.85	Professional		$251.77	$373.00	$1,367.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.39 / $61.64 / $240.09	Professional	26	$43.39	$61.64	$240.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.38 / $314.82 / $1,127.75	Professional	TC	$208.38	$314.82	$1,127.75
United Facility/Professional Professional Modifier Low / Median / High Price $158.54 / $264.43 / $351.53	Professional		$158.54	$264.43	$351.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.57 / $40.49 / $57.42	Professional	26	$30.57	$40.49	$57.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.04 / $226.23 / $302.18	Professional	TC	$151.04	$226.23	$302.18