Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.16 / $254.99 / $822.00	Facility		$94.16	$254.99	$822.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.73 / $51.59 / $69.64	Facility	26	$42.73	$51.59	$69.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.67 / $122.62 / $158.29	Professional		$89.67	$122.62	$158.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.83 / $38.03 / $54.16	Professional	26	$29.83	$38.03	$54.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.84 / $87.95 / $104.12	Professional	TC	$59.84	$87.95	$104.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $90.60 / $118.88	Professional		$80.09	$90.60	$118.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.08 / $35.19 / $46.51	Professional	26	$28.08	$35.19	$46.51
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $52.02 / $74.61 / $87.78	Professional	TC	$52.02	$74.61	$87.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.09 / $271.27 / $364.97	Facility		$224.09	$271.27	$364.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.61 / $157.00 / $185.26	Professional		$114.61	$157.00	$185.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.65 / $54.33 / $64.11	Professional	26	$39.65	$54.33	$64.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.95 / $102.67 / $121.15	Professional	TC	$74.95	$102.67	$121.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.38 / $160.88 / $276.72	Facility		$111.38	$160.88	$276.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.68 / $44.68 / $44.68	Facility	26	$44.68	$44.68	$44.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.81 / $147.93 / $370.62	Professional		$92.81	$147.93	$370.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.83 / $50.39 / $118.53	Professional	26	$30.83	$50.39	$118.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.14 / $103.81 / $250.86	Professional	TC	$63.14	$103.81	$250.86
United Facility/Professional Professional Modifier Low / Median / High Price $91.42 / $112.71 / $167.52	Professional		$91.42	$112.71	$167.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.40 / $38.70 / $53.87	Professional	26	$31.40	$38.70	$53.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.26 / $74.05 / $116.08	Professional	TC	$61.26	$74.05	$116.08