Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.51 / $194.61 / $766.89	Facility		$91.51	$194.61	$766.89
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.43 / $38.00 / $107.95	Facility	26	$31.43	$38.00	$107.95
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $74.48 / $259.95 / $455.99	Facility	TC	$74.48	$259.95	$455.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $96.70 / $118.32	Professional		$67.20	$96.70	$118.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.10 / $28.00 / $39.89	Professional	26	$22.10	$28.00	$39.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.10 / $71.45 / $78.42	Professional	TC	$45.10	$71.45	$78.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.62 / $63.92 / $127.84	Professional		$56.62	$63.92	$127.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.44 / $25.62 / $33.85	Professional	26	$20.44	$25.62	$33.85
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $42.21 / $42.21 / $59.10	Professional	TC	$42.21	$42.21	$59.10
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 $77.86 / $106.66 / $125.86	Professional		$77.86	$106.66	$125.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.28 / $36.00 / $42.48	Professional	26	$26.28	$36.00	$42.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.58 / $70.66 / $83.38	Professional	TC	$51.58	$70.66	$83.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.15 / $157.77 / $276.72	Facility		$103.15	$157.77	$276.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.86 / $32.86 / $32.86	Facility	26	$32.86	$32.86	$32.86
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $70.28 / $70.28 / $70.28	Facility	TC	$70.28	$70.28	$70.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.51 / $104.09 / $247.45	Professional		$67.51	$104.09	$247.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.23 / $33.78 / $80.45	Professional	26	$22.23	$33.78	$80.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.28 / $71.52 / $167.00	Professional	TC	$45.28	$71.52	$167.00
United Facility/Professional Facility Modifier Low / Median / High Price $98.07 / $217.94 / $224.16	Facility		$98.07	$217.94	$224.16
United Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $84.56 / $125.41	Professional		$67.70	$84.56	$125.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.46 / $28.08 / $39.76	Professional	26	$22.46	$28.08	$39.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.41 / $56.52 / $87.41	Professional	TC	$45.41	$56.52	$87.41