Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $234.42	Professional		$57.54	$87.10	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $46.77 / $95.50	Professional	26	$33.11	$46.77	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $33.88 / $128.82	Professional	TC	$25.12	$33.88	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $37.15 / $41.69	Professional		$36.31	$37.15	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $39.81 / $42.66	Professional	26	$39.81	$39.81	$42.66
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $16.60 / $16.60	Professional	TC	$16.60	$16.60	$16.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $223.87 / $302.00	Facility		$186.21	$223.87	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $141.25 / $165.96	Professional		$67.61	$141.25	$165.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $83.18 / $97.72	Professional	26	$39.81	$83.18	$97.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $57.54 / $69.18	Professional	TC	$28.18	$57.54	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $43.65 / $63.10	Facility	26	$9.33	$43.65	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $194.98 / $398.11	Professional		$74.13	$194.98	$398.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $85.11 / $165.96	Professional	26	$42.66	$85.11	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $117.49 / $251.19	Professional	TC	$30.90	$117.49	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $562.34 / $1,548.82	Facility		$218.78	$562.34	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $97.72 / $288.40	Professional		$51.29	$97.72	$288.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $53.70 / $114.82	Professional	26	$29.51	$53.70	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $38.90 / $169.82	Professional	TC	$21.38	$38.90	$169.82