Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $47.86 / $208.93	Facility	26	$35.48	$47.86	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $524.81	Professional		$162.18	$251.19	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $47.86 / $100.00	Professional	26	$34.67	$47.86	$100.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $177.83 / $371.54	Professional	TC	$134.90	$177.83	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $269.15	Professional		$128.82	$151.36	$269.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $36.31 / $51.29	Professional	26	$28.18	$36.31	$51.29
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $123.03 / $251.19	Professional	TC	$120.23	$123.03	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $251.19	Professional		$147.91	$229.09	$251.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $46.77 / $51.29	Professional	26	$31.62	$46.77	$51.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $181.97 / $199.53	Professional	TC	$114.82	$181.97	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $524.81	Professional		$147.91	$223.87	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $39.81 / $104.71	Professional	26	$28.18	$39.81	$104.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $208.93 / $436.52	Professional	TC	$134.90	$208.93	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $316.23	Professional		$151.36	$194.98	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $36.31 / $51.29	Professional	26	$28.84	$36.31	$51.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $158.49 / $281.84	Professional	TC	$123.03	$158.49	$281.84