Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $227.18 / $306.69 / $306.69	Facility	26	$227.18	$306.69	$306.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.40 / $323.63 / $372.99	Professional		$252.40	$323.63	$372.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $164.48 / $196.59 / $240.15	Professional	26	$164.48	$196.59	$240.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.97 / $110.35 / $132.83	Professional	TC	$85.97	$110.35	$132.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.73 / $256.39 / $333.31	Professional		$234.73	$256.39	$333.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $158.69 / $222.20 / $222.20	Professional	26	$158.69	$222.20	$222.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.08 / $293.26 / $346.05	Professional		$214.08	$293.26	$346.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $136.93 / $187.58 / $221.34	Professional	26	$136.93	$187.58	$221.34
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.15 / $105.68 / $124.70	Professional	TC	$77.15	$105.68	$124.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.74 / $330.11 / $1,050.15	Professional		$258.74	$330.11	$1,050.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $169.67 / $212.61 / $685.73	Professional	26	$169.67	$212.61	$685.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.06 / $117.50 / $364.43	Professional	TC	$89.06	$117.50	$364.43
United Facility/Professional Professional Modifier Low / Median / High Price $226.57 / $289.20 / $470.97	Professional		$226.57	$289.20	$470.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $136.16 / $186.34 / $294.42	Professional	26	$136.16	$186.34	$294.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.09 / $104.26 / $166.56	Professional	TC	$81.09	$104.26	$166.56