Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $74.13 / $776.25	Facility		$33.88	$74.13	$776.25
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $40.74 / $40.74	Facility	26	$30.20	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $77.62 / $234.42	Professional		$46.77	$77.62	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $51.29 / $89.13	Professional	26	$25.70	$51.29	$89.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $30.20 / $134.90	Professional	TC	$19.95	$30.20	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $81.28	Professional		$41.69	$50.12	$81.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $31.62 / $45.71	Professional	26	$23.99	$31.62	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $186.21 / $251.19	Facility		$154.88	$186.21	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $131.83 / $144.54	Professional		$47.86	$131.83	$144.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $60.26 / $66.07	Professional	26	$25.70	$60.26	$66.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $70.79 / $77.62	Professional	TC	$22.39	$70.79	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $316.23 / $338.84	Facility		$181.97	$316.23	$338.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	26	$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $95.50 / $263.03	Professional		$44.67	$95.50	$263.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $41.69 / $87.10	Professional	26	$29.51	$41.69	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $47.86 / $208.93	Professional	TC	$24.55	$47.86	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $57.54 / $114.82	Facility		$24.55	$57.54	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $213.80	Professional		$43.65	$58.88	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $31.62 / $45.71	Professional	26	$24.55	$31.62	$45.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $25.70 / $173.78	Professional	TC	$19.50	$25.70	$173.78