Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $436.52 / $812.83	Facility		$112.20	$436.52	$812.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $36.31 / $36.31	Facility	26	$25.70	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $204.17	Professional		$67.61	$112.20	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $36.31 / $64.57	Professional	26	$20.89	$36.31	$64.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $85.11 / $165.96	Professional	TC	$54.95	$85.11	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $112.20	Professional		$72.44	$91.20	$112.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $26.92 / $36.31	Professional	26	$19.50	$26.92	$36.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $295.12 / $398.11	Facility		$245.47	$295.12	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $128.82	Professional		$75.86	$107.15	$128.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $27.54 / $32.36	Professional	26	$19.05	$27.54	$32.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $81.28 / $95.50	Professional	TC	$56.23	$81.28	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $91.20 / $97.72	Facility		$87.10	$91.20	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $190.55	Professional		$81.28	$107.15	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $34.67 / $48.98	Professional	26	$21.38	$34.67	$48.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $79.43 / $144.54	Professional	TC	$52.48	$79.43	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $120.23	Professional		$61.66	$87.10	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $25.70 / $33.88	Professional	26	$20.42	$25.70	$33.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $63.10 / $87.10	Professional	TC	$38.02	$63.10	$87.10