Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.40 / $304.70 / $304.70	Facility		$119.40	$304.70	$304.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.28 / $29.28 / $29.28	Facility	26	$29.28	$29.28	$29.28
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $72.33 / $72.33 / $90.12	Facility	TC	$72.33	$72.33	$90.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.63 / $94.20 / $119.41	Professional		$81.63	$94.20	$119.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.75 / $23.83 / $29.28	Professional	26	$19.75	$23.83	$29.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.88 / $72.31 / $90.13	Professional	TC	$61.88	$72.31	$90.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.08 / $97.64 / $113.80	Professional		$48.08	$97.64	$113.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.92 / $31.59 / $31.59	Professional	26	$11.92	$31.59	$31.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.34 / $97.34 / $114.86	Professional		$97.34	$97.34	$114.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.10 / $29.10 / $34.34	Professional	26	$29.10	$29.10	$34.34
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.23 / $68.23 / $80.52	Professional	TC	$68.23	$68.23	$80.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $52.00 / $112.17	Professional		$43.71	$52.00	$112.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.24 / $13.47 / $61.39	Professional	26	$12.24	$13.47	$61.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.84 / $37.70 / $79.81	Professional	TC	$30.84	$37.70	$79.81
United Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $64.31 / $107.19	Professional		$58.39	$64.31	$107.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $16.67 / $28.51	Professional	26	$16.07	$16.67	$28.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.31 / $49.84 / $87.34	Professional	TC	$42.31	$49.84	$87.34