Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.27 / $133.68 / $836.91	Facility		$113.27	$133.68	$836.91
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.41 / $20.41 / $27.55	Facility	26	$20.41	$20.41	$27.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.72 / $91.52 / $140.36	Professional		$76.72	$91.52	$140.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.71 / $14.41 / $21.43	Professional	26	$11.71	$14.41	$21.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.00 / $77.20 / $118.93	Professional	TC	$65.00	$77.20	$118.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.33 / $69.33 / $69.33	Professional		$69.33	$69.33	$69.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.72 / $195.04 / $262.39	Facility		$160.72	$195.04	$262.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.87 / $119.00 / $140.41	Professional		$86.87	$119.00	$140.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.97 / $35.58 / $41.98	Professional	26	$25.97	$35.58	$41.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.90 / $83.42 / $98.44	Professional	TC	$60.90	$83.42	$98.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.87 / $291.37 / $575.72	Facility		$121.87	$291.37	$575.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.70 / $18.70 / $18.86	Facility	26	$18.70	$18.70	$18.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.25 / $95.44 / $227.06	Professional		$67.25	$95.44	$227.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.53 / $20.55 / $45.80	Professional	26	$12.53	$20.55	$45.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.57 / $80.23 / $196.72	Professional	TC	$60.57	$80.23	$196.72
United Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $55.93 / $207.12	Facility		$12.03	$55.93	$207.12
United Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $90.15 / $118.67	Professional		$67.92	$90.15	$118.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.45 / $16.01 / $23.21	Professional	26	$12.45	$16.01	$23.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.31 / $73.09 / $98.75	Professional	TC	$53.31	$73.09	$98.75