Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.68 / $68.34 / $92.28	Facility	26	$49.68	$68.34	$92.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.31 / $286.42 / $328.76	Professional		$223.31	$286.42	$328.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.68 / $68.34 / $94.20	Professional	26	$49.68	$68.34	$94.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.77 / $223.01 / $256.98	Professional	TC	$169.77	$223.01	$256.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.65 / $234.48 / $334.97	Professional		$178.65	$234.48	$334.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.50 / $65.84 / $67.08	Professional	26	$40.50	$65.84	$67.08
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $147.57 / $147.57 / $386.44	Professional	TC	$147.57	$147.57	$386.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.71 / $313.30 / $369.69	Professional		$228.71	$313.30	$369.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.08 / $111.54 / $131.62	Professional	26	$78.08	$111.54	$131.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.28 / $201.76 / $238.08	Professional	TC	$147.28	$201.76	$238.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.08 / $297.42 / $683.62	Professional		$206.08	$297.42	$683.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.28 / $76.79 / $163.94	Professional	26	$51.28	$76.79	$163.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $185.36 / $249.70 / $591.90	Professional	TC	$185.36	$249.70	$591.90
United Facility/Professional Professional Modifier Low / Median / High Price $211.94 / $255.07 / $467.60	Professional		$211.94	$255.07	$467.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.13 / $56.35 / $108.37	Professional	26	$44.13	$56.35	$108.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $167.81 / $212.56 / $350.96	Professional	TC	$167.81	$212.56	$350.96