Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.61 / $404.89 / $960.21	Facility		$111.61	$404.89	$960.21
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.90 / $36.07 / $48.70	Facility	26	$27.90	$36.07	$48.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $147.68 / $155.07	Professional		$68.20	$147.68	$155.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.95 / $36.07 / $37.88	Professional	26	$22.95	$36.07	$37.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.04 / $111.60 / $117.19	Professional	TC	$44.04	$111.60	$117.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.32 / $36.32 / $36.32	Professional	26	$36.32	$36.32	$36.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $290.45 / $390.76	Facility		$239.35	$290.45	$390.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $108.19 / $127.66	Professional		$78.98	$108.19	$127.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.94 / $27.31 / $32.22	Professional	26	$19.94	$27.31	$32.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.04 / $80.88 / $95.44	Professional	TC	$59.04	$80.88	$95.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.65 / $92.06 / $3,138.00	Facility		$86.65	$92.06	$3,138.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.97 / $106.15 / $289.50	Professional		$81.97	$106.15	$289.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.31 / $34.94 / $92.80	Professional	26	$25.31	$34.94	$92.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.21 / $80.29 / $196.72	Professional	TC	$52.21	$80.29	$196.72
United Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $94.72 / $119.71	Professional		$63.39	$94.72	$119.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.49 / $27.09 / $39.43	Professional	26	$20.49	$27.09	$39.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.49 / $65.25 / $86.23	Professional	TC	$35.49	$65.25	$86.23