Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $149.78 / $149.78 / $149.78	Facility	26	$149.78	$149.78	$149.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.59 / $269.73 / $405.17	Professional		$193.59	$269.73	$405.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.87 / $97.12 / $149.78	Professional	26	$66.87	$97.12	$149.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.70 / $172.59 / $255.40	Professional	TC	$111.70	$172.59	$255.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.95 / $264.93 / $269.93	Professional		$199.95	$264.93	$269.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $74.95 / $74.95 / $78.70	Professional	26	$74.95	$74.95	$78.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.64 / $268.00 / $316.24	Professional		$195.64	$268.00	$316.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.91 / $102.61 / $121.08	Professional	26	$74.91	$102.61	$121.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.73 / $165.39 / $195.16	Professional	TC	$120.73	$165.39	$195.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.34 / $315.87 / $647.07	Professional		$186.34	$315.87	$647.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.55 / $123.51 / $235.83	Professional	26	$80.55	$123.51	$235.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $135.86 / $209.78 / $434.48	Professional	TC	$135.86	$209.78	$434.48
United Facility/Professional Professional Modifier Low / Median / High Price $179.45 / $227.31 / $346.94	Professional		$179.45	$227.31	$346.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.51 / $84.26 / $131.05	Professional	26	$65.51	$84.26	$131.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $113.94 / $148.35 / $235.38	Professional	TC	$113.94	$148.35	$235.38