Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.13 / $192.50 / $751.40	Facility		$95.13	$192.50	$751.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.03 / $36.60 / $49.41	Facility	26	$29.03	$36.60	$49.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $107.34 / $149.94	Professional		$85.58	$107.34	$149.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.48 / $26.22 / $38.42	Professional	26	$18.48	$26.22	$38.42
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $37.09 / $53.07 / $71.41	Professional	52	$37.09	$53.07	$71.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.35 / $83.28 / $111.53	Professional	TC	$62.35	$83.28	$111.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.17 / $79.98 / $159.97	Professional		$71.17	$79.98	$159.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.66 / $24.65 / $39.31	Professional	26	$19.66	$24.65	$39.31
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $55.62 / $79.77 / $93.85	Professional	TC	$55.62	$79.77	$93.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.62 / $178.70 / $240.41	Facility		$147.62	$178.70	$240.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.20 / $140.00 / $165.20	Professional		$102.20	$140.00	$165.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.86 / $35.42 / $41.80	Professional	26	$25.86	$35.42	$41.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.34 / $104.58 / $123.40	Professional	TC	$76.34	$104.58	$123.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.49 / $160.88 / $276.72	Facility		$109.49	$160.88	$276.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.36 / $30.36 / $30.36	Facility	26	$30.36	$30.36	$30.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.16 / $122.53 / $315.72	Professional		$85.16	$122.53	$315.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.62 / $34.71 / $92.00	Professional	26	$21.62	$34.71	$92.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.54 / $101.39 / $245.58	Professional	TC	$67.54	$101.39	$245.58
United Facility/Professional Facility Modifier Low / Median / High Price $20.13 / $72.36 / $224.16	Facility		$20.13	$72.36	$224.16
United Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $106.89 / $145.12	Professional		$80.93	$106.89	$145.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.65 / $26.97 / $36.31	Professional	26	$21.65	$26.97	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.49 / $79.18 / $106.97	Professional	TC	$58.49	$79.18	$106.97