Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.85 / $122.64 / $122.64	Facility	26	$90.85	$122.64	$122.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.49 / $576.72 / $576.72	Professional		$463.49	$576.72	$576.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.28 / $90.85 / $122.64	Professional	26	$64.28	$90.85	$122.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $399.20 / $485.88 / $485.88	Professional	TC	$399.20	$485.88	$485.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.86 / $81.86 / $81.86	Professional	26	$81.86	$81.86	$81.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.80 / $456.85 / $502.54	Professional		$319.80	$456.85	$502.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.72 / $71.03 / $78.13	Professional	26	$49.72	$71.03	$78.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $270.07 / $385.82 / $424.40	Professional	TC	$270.07	$385.82	$424.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.57 / $606.04 / $817.19	Professional		$440.57	$606.04	$817.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.53 / $98.10 / $124.70	Professional	26	$68.53	$98.10	$124.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $372.04 / $507.93 / $692.50	Professional	TC	$372.04	$507.93	$692.50
United Facility/Professional Professional Modifier Low / Median / High Price $355.45 / $456.66 / $671.41	Professional		$355.45	$456.66	$671.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.32 / $71.03 / $99.44	Professional	26	$53.32	$71.03	$99.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $303.91 / $385.63 / $568.38	Professional	TC	$303.91	$385.63	$568.38