Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.86 / $69.06 / $93.24	Facility	26	$55.86	$69.06	$93.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.76 / $366.53 / $461.21	Professional		$296.76	$366.53	$461.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.40 / $57.46 / $73.39	Professional	26	$50.40	$57.46	$73.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $253.84 / $310.72 / $390.48	Professional	TC	$253.84	$310.72	$390.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $330.44 / $346.96 / $405.00	Professional		$330.44	$346.96	$405.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.40 / $67.39 / $92.28	Professional	26	$53.40	$67.39	$92.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.44 / $349.98 / $446.84	Professional		$254.44	$349.98	$446.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.72 / $53.06 / $63.56	Professional	26	$38.72	$53.06	$63.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $216.75 / $296.92 / $350.37	Professional	TC	$216.75	$296.92	$350.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.63 / $356.38 / $1,233.96	Professional		$126.63	$356.38	$1,233.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.81 / $61.10 / $209.85	Professional	26	$38.81	$61.10	$209.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.45 / $296.93 / $1,024.10	Professional	TC	$89.45	$296.93	$1,024.10
United Facility/Professional Professional Modifier Low / Median / High Price $207.34 / $308.52 / $483.24	Professional		$207.34	$308.52	$483.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.43 / $56.62 / $100.22	Professional	26	$41.43	$56.62	$100.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $168.39 / $259.39 / $367.90	Professional	TC	$168.39	$259.39	$367.90