Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.21 / $101.16 / $660.92	Facility		$52.21	$101.16	$660.92
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.61 / $40.89 / $55.21	Facility	26	$35.61	$40.89	$55.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.25 / $74.93 / $179.53	Professional		$43.25	$74.93	$179.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.70 / $30.58 / $55.21	Professional	26	$23.70	$30.58	$55.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.54 / $34.03 / $150.53	Professional	TC	$19.54	$34.03	$150.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $44.64 / $106.42	Professional		$44.38	$44.64	$106.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.28 / $27.93 / $54.25	Professional	26	$22.28	$27.93	$54.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.02 / $182.82 / $245.96	Facility		$151.02	$182.82	$245.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.37 / $130.53 / $154.03	Professional		$91.37	$130.53	$154.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.35 / $60.50 / $71.39	Professional	26	$42.35	$60.50	$71.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.02 / $70.03 / $82.64	Professional	TC	$49.02	$70.03	$82.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.33 / $319.08 / $3,138.00	Facility		$300.33	$319.08	$3,138.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.25 / $37.25 / $37.25	Facility	26	$37.25	$37.25	$37.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.37 / $87.45 / $293.30	Professional		$48.37	$87.45	$293.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.39 / $41.56 / $98.26	Professional	26	$24.39	$41.56	$98.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.60 / $40.13 / $189.01	Professional	TC	$22.60	$40.13	$189.01
United Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $57.09 / $190.14	Professional		$43.85	$57.09	$190.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.36 / $31.36 / $43.90	Professional	26	$24.36	$31.36	$43.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $23.50 / $151.86	Professional	TC	$19.48	$23.50	$151.86