Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.33 / $123.82 / $171.30	Facility		$96.33	$123.82	$171.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.48 / $22.82 / $27.29	Facility	26	$20.48	$22.82	$27.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $96.33 / $146.24	Professional		$80.56	$96.33	$146.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.15 / $20.81 / $81.76	Professional	26	$13.15	$20.81	$81.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.40 / $75.52 / $123.21	Professional	TC	$67.40	$75.52	$123.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $25.52 / $28.50	Professional	26	$25.29	$25.52	$28.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.73 / $223.73 / $243.42	Facility		$223.73	$223.73	$243.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.26 / $120.79 / $134.21	Professional		$91.26	$120.79	$134.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.04 / $23.88 / $26.53	Professional	26	$18.04	$23.88	$26.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.22 / $96.91 / $107.68	Professional	TC	$73.22	$96.91	$107.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.22 / $226.89 / $410.37	Facility		$95.22	$226.89	$410.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $116.00 / $172.76	Professional		$81.34	$116.00	$172.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.58 / $22.67 / $30.55	Professional	26	$15.58	$22.67	$30.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.28 / $91.36 / $141.12	Professional	TC	$62.28	$91.36	$141.12
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $29.08 / $29.35 / $32.78	Professional	26	$29.08	$29.35	$32.78
United Facility/Professional Facility Modifier Low / Median / High Price $483.44 / $483.44 / $483.44	Facility		$483.44	$483.44	$483.44
United Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $99.34 / $178.00	Professional		$80.56	$99.34	$178.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.94 / $19.23 / $30.68	Professional	26	$14.94	$19.23	$30.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.81 / $83.15 / $150.13	Professional	TC	$65.81	$83.15	$150.13