Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.72 / $119.72 / $119.72	Facility		$119.72	$119.72	$119.72
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.16 / $71.16 / $71.16	Facility	26	$71.16	$71.16	$71.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.04 / $77.69 / $203.40	Professional		$60.04	$77.69	$203.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.40 / $45.46 / $77.98	Professional	26	$34.40	$45.46	$77.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.17 / $32.22 / $128.59	Professional	TC	$25.17	$32.22	$128.59
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $9.88 / $9.88 / $9.88	Professional	TC	$9.88	$9.88	$9.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.60 / $220.38 / $296.49	Facility		$181.60	$220.38	$296.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.78 / $141.19 / $166.62	Professional		$67.78	$141.19	$166.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.89 / $83.13 / $98.09	Professional	26	$39.89	$83.13	$98.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.89 / $58.07 / $68.52	Professional	TC	$27.89	$58.07	$68.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $187.94 / $566.63	Professional		$61.36	$187.94	$566.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.28 / $86.44 / $238.84	Professional	26	$36.28	$86.44	$238.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.08 / $117.40 / $327.77	Professional	TC	$25.08	$117.40	$327.77
United Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $750.00 / $1,326.00	Facility		$250.00	$750.00	$1,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.58 / $71.15 / $289.11	Professional		$50.58	$71.15	$289.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.78 / $39.70 / $96.00	Professional	26	$29.78	$39.70	$96.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.60 / $29.59 / $167.32	Professional	TC	$21.60	$29.59	$167.32