Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $176.83 / $193.78 / $261.60	Facility	26	$176.83	$193.78	$261.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.19 / $673.75 / $933.16	Professional		$495.19	$673.75	$933.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $124.51 / $193.78	Professional	26	$100.00	$124.51	$193.78
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $246.22 / $302.29 / $466.58	Professional	52	$246.22	$302.29	$466.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $395.19 / $533.44 / $739.38	Professional	TC	$395.19	$533.44	$739.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $499.45 / $499.45 / $499.45	Professional		$499.45	$499.45	$499.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $107.37 / $112.74 / $179.47	Professional	26	$107.37	$112.74	$179.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.50 / $750.00 / $961.50	Professional		$547.50	$750.00	$961.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $164.38 / $225.18 / $288.68	Professional	26	$164.38	$225.18	$288.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $383.12 / $524.82 / $672.82	Professional	TC	$383.12	$524.82	$672.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.48 / $694.86 / $2,132.66	Professional		$550.48	$694.86	$2,132.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $115.40 / $159.75 / $446.76	Professional	26	$115.40	$159.75	$446.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $415.62 / $546.52 / $1,685.90	Professional	TC	$415.62	$546.52	$1,685.90
United Facility/Professional Professional Modifier Low / Median / High Price $453.40 / $590.04 / $1,008.50	Professional		$453.40	$590.04	$1,008.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $90.89 / $120.11 / $218.04	Professional	26	$90.89	$120.11	$218.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $347.61 / $471.76 / $798.06	Professional	TC	$347.61	$471.76	$798.06