Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $67.61 / $67.61	Facility	26	$50.12	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $758.58	Professional		$239.88	$363.08	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $100.00 / $177.83	Professional	26	$51.29	$100.00	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $239.88 / $457.09	Professional	TC	$169.82	$239.88	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $316.23	Professional		$190.55	$208.93	$316.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $52.48 / $75.86	Professional	26	$39.81	$52.48	$75.86
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $162.18 / $275.42	Professional	TC	$147.91	$162.18	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $371.54	Professional		$204.17	$316.23	$371.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $81.28 / $123.03	Professional	26	$45.71	$81.28	$123.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $199.53 / $223.87	Professional	TC	$141.25	$199.53	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $741.31	Professional		$208.93	$338.84	$741.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $93.33 / $165.96	Professional	26	$52.48	$93.33	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $288.40 / $602.56	Professional	TC	$190.55	$288.40	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $478.63	Professional		$213.80	$275.42	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $58.88 / $109.65	Professional	26	$43.65	$58.88	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $218.78 / $371.54	Professional	TC	$165.96	$218.78	$371.54