Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $160.27 / $160.27 / $160.27	Facility	26	$160.27	$160.27	$160.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.18 / $372.01 / $463.54	Professional		$300.18	$372.01	$463.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.45 / $129.69 / $160.27	Professional	26	$107.45	$129.69	$160.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.94 / $243.03 / $303.30	Professional	TC	$181.94	$243.03	$303.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $154.19 / $170.90 / $170.90	Professional	26	$154.19	$170.90	$170.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.45 / $508.45 / $599.97	Professional		$464.45	$508.45	$599.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $202.00 / $202.00 / $238.36	Professional	26	$202.00	$202.00	$238.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $279.93 / $306.45 / $361.61	Professional	TC	$279.93	$306.45	$361.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.45 / $211.12 / $437.30	Professional		$167.45	$211.12	$437.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.64 / $74.41 / $265.00	Professional	26	$65.64	$74.41	$265.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.59 / $138.50 / $280.77	Professional	TC	$112.59	$138.50	$280.77
United Facility/Professional Professional Modifier Low / Median / High Price $232.08 / $256.60 / $427.66	Professional		$232.08	$256.60	$427.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.96 / $109.03 / $152.66	Professional	26	$87.96	$109.03	$152.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.72 / $152.50 / $275.00	Professional	TC	$125.72	$152.50	$275.00