Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.31 / $197.03 / $6,503.60	Facility		$86.31	$197.03	$6,503.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.16 / $110.71 / $110.72	Facility	26	$61.16	$110.71	$110.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.80 / $197.03 / $233.66	Professional		$119.80	$197.03	$233.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.86 / $76.98 / $116.25	Professional	26	$48.86	$76.98	$116.25
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $59.90 / $75.38 / $98.52	Professional	52	$59.90	$75.38	$98.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.19 / $86.31 / $162.66	Professional	TC	$54.19	$86.31	$162.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.35 / $62.35 / $79.13	Professional	26	$62.35	$62.35	$79.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,431.23 / $2,950.43 / $3,969.27	Facility		$2,431.23	$2,950.43	$3,969.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.56 / $272.00 / $320.95	Professional		$198.56	$272.00	$320.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.44 / $84.17 / $99.32	Professional	26	$61.44	$84.17	$99.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $137.12 / $187.83 / $221.64	Professional	TC	$137.12	$187.83	$221.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.11 / $3,138.00 / $4,884.05	Facility		$282.11	$3,138.00	$4,884.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.94 / $63.94 / $64.48	Facility	26	$63.94	$63.94	$64.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $201.34 / $504.16	Professional		$116.76	$201.34	$504.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $78.23 / $185.83	Professional	26	$55.00	$78.23	$185.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $133.69 / $391.98	Professional	TC	$52.48	$133.69	$391.98
United Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $167.09 / $479.40	Professional		$128.66	$167.09	$479.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.05 / $79.26 / $106.11	Professional	26	$49.05	$79.26	$106.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.58 / $76.87 / $409.84	Professional	TC	$60.58	$76.87	$409.84