Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.36 / $301.68 / $1,078.02	Facility		$43.36	$301.68	$1,078.02
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.62 / $14.43 / $19.48	Facility	26	$11.62	$14.43	$19.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $33.40 / $49.16	Professional		$28.10	$33.40	$49.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $10.64 / $15.16	Professional	26	$8.84	$10.64	$15.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.26 / $22.76 / $33.97	Professional	TC	$19.26	$22.76	$33.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $26.91 / $27.37	Professional		$23.95	$26.91	$27.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $9.84 / $13.02	Professional	26	$7.87	$9.84	$13.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $92.49 / $124.43	Facility		$76.20	$92.49	$124.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $47.00 / $55.46	Professional		$34.31	$47.00	$55.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.96 / $17.75 / $20.95	Professional	26	$12.96	$17.75	$20.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.35 / $29.25 / $34.52	Professional	TC	$21.35	$29.25	$34.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.43 / $108.05 / $202.38	Facility		$40.43	$108.05	$202.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.16 / $12.16 / $12.27	Facility	26	$12.16	$12.16	$12.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $35.92 / $86.10	Professional		$25.31	$35.92	$86.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $14.03 / $29.00	Professional	26	$8.41	$14.03	$29.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.92 / $25.03 / $61.88	Professional	TC	$17.92	$25.03	$61.88
United Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $72.81 / $161.80	Facility		$72.81	$72.81	$161.80
United Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $33.49 / $43.50	Professional		$25.74	$33.49	$43.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $10.98 / $15.51	Professional	26	$8.66	$10.98	$15.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.04 / $22.19 / $29.45	Professional	TC	$17.04	$22.19	$29.45