Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $165.96 / $676.08	Facility		$75.86	$165.96	$676.08
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $43.65 / $43.65	Facility	26	$29.51	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $93.33 / $245.47	Professional		$50.12	$93.33	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $66.07 / $125.89	Professional	26	$28.84	$66.07	$125.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.98 / $144.54 / $371.54	Professional	50	$48.98	$144.54	$371.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $54.95 / $120.23	Professional	TC	$40.74	$54.95	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $117.49	Professional		$61.66	$67.61	$117.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $38.90 / $56.23	Professional	26	$23.99	$38.90	$56.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $81.28 / $112.20	Professional	50	$81.28	$81.28	$112.20
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $70.79 / $72.44	Professional	TC	$53.70	$70.79	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $181.97 / $245.47	Facility		$151.36	$181.97	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $93.33	Professional		$60.26	$85.11	$93.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $34.67 / $38.02	Professional	26	$23.99	$34.67	$38.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $51.29 / $56.23	Professional	TC	$35.48	$51.29	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $131.83 / $229.09	Facility		$77.62	$131.83	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $102.33 / $213.80	Professional		$64.57	$102.33	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $43.65 / $89.13	Professional	26	$30.90	$43.65	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $64.57 / $141.25	Professional	TC	$46.77	$64.57	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $128.82 / $158.49	Facility		$52.48	$128.82	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $134.90	Professional		$64.57	$81.28	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $33.11 / $50.12	Professional	26	$25.70	$33.11	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $48.98 / $74.13	Professional	TC	$38.90	$48.98	$74.13