Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $191.39 / $258.37 / $258.37	Facility	26	$191.39	$258.37	$258.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.36 / $279.26 / $322.83	Professional		$215.36	$279.26	$322.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $138.82 / $165.65 / $202.72	Professional	26	$138.82	$165.65	$202.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.73 / $99.51 / $120.11	Professional	TC	$78.73	$99.51	$120.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.28 / $226.13 / $323.04	Professional		$200.28	$226.13	$323.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $134.10 / $134.10 / $187.28	Professional	26	$134.10	$134.10	$187.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.14 / $250.87 / $296.02	Professional		$183.14	$250.87	$296.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $114.58 / $156.96 / $185.21	Professional	26	$114.58	$156.96	$185.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.55 / $93.91 / $110.81	Professional	TC	$68.55	$93.91	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.76 / $285.47 / $916.30	Professional		$227.76	$285.47	$916.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $143.72 / $179.40 / $579.30	Professional	26	$143.72	$179.40	$579.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.98 / $106.07 / $337.02	Professional	TC	$82.98	$106.07	$337.02
United Facility/Professional Professional Modifier Low / Median / High Price $193.83 / $252.69 / $402.23	Professional		$193.83	$252.69	$402.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $122.89 / $156.96 / $230.01	Professional	26	$122.89	$156.96	$230.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.14 / $99.08 / $152.36	Professional	TC	$76.14	$99.08	$152.36