Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $526.71 / $526.71 / $711.05	Facility	26	$526.71	$526.71	$711.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $988.72 / $1,795.05 / $1,940.79	Professional		$988.72	$1,795.05	$1,940.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $268.30 / $515.11 / $553.04	Professional	26	$268.30	$515.11	$553.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $704.99 / $1,279.93 / $1,387.74	Professional	TC	$704.99	$1,279.93	$1,387.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $267.77 / $267.77 / $337.90	Professional	26	$267.77	$267.77	$337.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,157.05 / $1,585.00 / $1,870.30	Professional		$1,157.05	$1,585.00	$1,870.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $463.19 / $634.50 / $748.71	Professional	26	$463.19	$634.50	$748.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $693.87 / $950.50 / $1,121.58	Professional	TC	$693.87	$950.50	$1,121.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,131.79 / $1,455.14 / $3,234.62	Professional		$1,131.79	$1,455.14	$3,234.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $313.32 / $446.94 / $986.95	Professional	26	$313.32	$446.94	$986.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $818.48 / $1,018.05 / $2,247.67	Professional	TC	$818.48	$1,018.05	$2,247.67
United Facility/Professional Professional Modifier Low / Median / High Price $770.12 / $1,152.34 / $1,646.22	Professional		$770.12	$1,152.34	$1,646.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $231.70 / $339.82 / $454.13	Professional	26	$231.70	$339.82	$454.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $551.99 / $749.12 / $1,159.17	Professional	TC	$551.99	$749.12	$1,159.17