Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $125.89 / $125.89	Facility	26	$64.57	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $588.84	Professional		$173.78	$251.19	$588.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $91.20 / $190.55	Professional	26	$64.57	$91.20	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $144.54 / $223.87	Professional	TC	$107.15	$144.54	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $158.49 / $213.80	Professional		$154.88	$158.49	$213.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $87.10 / $112.20	Professional	26	$66.07	$87.10	$112.20
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $154.88 / $154.88	Professional	TC	$154.88	$154.88	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $213.80	Professional		$134.90	$194.98	$213.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $75.86 / $85.11	Professional	26	$56.23	$75.86	$85.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $117.49 / $128.82	Professional	TC	$85.11	$117.49	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $537.03	Professional		$147.91	$251.19	$537.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $104.71 / $204.17	Professional	26	$69.18	$104.71	$204.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $186.21 / $407.38	Professional	TC	$102.33	$186.21	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $295.12	Professional		$141.25	$190.55	$295.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $72.44 / $131.83	Professional	26	$54.95	$72.44	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $114.82 / $177.83	Professional	TC	$85.11	$114.82	$177.83