Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $794.33	Professional		$213.80	$354.81	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $138.04 / $257.04	Professional	26	$77.62	$138.04	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $173.78 / $316.23	Professional	TC	$138.04	$173.78	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $199.53 / $288.40	Professional		$186.21	$199.53	$288.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $81.28 / $131.83	Professional	26	$79.43	$81.28	$131.83
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $288.40 / $288.40	Professional	TC	$288.40	$288.40	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $295.12	Professional		$181.97	$269.15	$295.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $102.33 / $112.20	Professional	26	$72.44	$102.33	$112.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $165.96 / $181.97	Professional	TC	$114.82	$165.96	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $323.59 / $660.69	Professional		$177.83	$323.59	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $125.89 / $239.88	Professional	26	$83.18	$125.89	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $208.93 / $426.58	Professional	TC	$138.04	$208.93	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $436.52	Professional		$177.83	$239.88	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $87.10 / $158.49	Professional	26	$66.07	$87.10	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $147.91 / $263.03	Professional	TC	$114.82	$147.91	$263.03