Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.19 / $124.19 / $124.19	Facility	26	$124.19	$124.19	$124.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.25 / $282.01 / $369.77	Professional		$231.25	$282.01	$369.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.34 / $103.95 / $131.77	Professional	26	$84.34	$103.95	$131.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.88 / $172.63 / $264.64	Professional	TC	$134.88	$172.63	$264.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $522.73 / $522.73 / $522.73	Professional		$522.73	$522.73	$522.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.19 / $267.60 / $339.27	Professional		$193.19	$267.60	$339.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.55 / $95.28 / $114.36	Professional	26	$69.55	$95.28	$114.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.63 / $169.36 / $200.85	Professional	TC	$123.63	$169.36	$200.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.78 / $318.30 / $1,087.75	Professional		$156.78	$318.30	$1,087.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.10 / $111.88 / $382.74	Professional	26	$95.10	$111.88	$382.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.55 / $219.52 / $704.98	Professional	TC	$117.55	$219.52	$704.98
United Facility/Professional Professional Modifier Low / Median / High Price $172.74 / $239.43 / $382.55	Professional		$172.74	$239.43	$382.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.27 / $101.67 / $149.46	Professional	26	$74.27	$101.67	$149.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $105.66 / $139.66 / $253.26	Professional	TC	$105.66	$139.66	$253.26