Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $102.33 / $102.33	Facility	26	$70.79	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $1,071.52	Professional		$338.84	$457.09	$1,071.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $87.10 / $263.03	Professional	26	$61.66	$87.10	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $380.19 / $645.65	Professional	TC	$269.15	$380.19	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $602.56	Professional		$288.40	$380.19	$602.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $93.33 / $123.03	Professional	26	$54.95	$93.33	$123.03
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $489.78 / $489.78 / $489.78	Professional	TC	$489.78	$489.78	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $954.99	Professional		$575.44	$812.83	$954.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $147.91 / $173.78	Professional	26	$102.33	$147.91	$173.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $467.74 / $676.08 / $794.33	Professional	TC	$467.74	$676.08	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $1,548.82	Professional		$467.74	$588.84	$1,548.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $112.20 / $338.84	Professional	26	$79.43	$112.20	$338.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $489.78 / $1,258.93	Professional	TC	$389.05	$489.78	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $812.83	Professional		$354.81	$489.78	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $83.18 / $144.54	Professional	26	$60.26	$83.18	$144.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $407.38 / $660.69	Professional	TC	$295.12	$407.38	$660.69