Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.20 / $492.25 / $492.25	Facility		$85.20	$492.25	$492.25
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.44 / $13.44 / $13.44	Facility	26	$13.44	$13.44	$13.44
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $59.22 / $59.22 / $71.75	Facility	TC	$59.22	$59.22	$71.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.25 / $69.98 / $85.20	Professional		$56.25	$69.98	$85.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $10.75 / $13.45	Professional	26	$8.94	$10.75	$13.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $59.21 / $71.75	Professional	TC	$50.12	$59.21	$71.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $71.09 / $71.09	Professional		$35.94	$71.09	$71.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.38 / $12.92 / $14.26	Professional	26	$5.38	$12.92	$14.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $67.06 / $79.14	Professional		$67.06	$67.06	$79.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.45 / $12.45 / $14.69	Professional	26	$12.45	$12.45	$14.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.62 / $54.62 / $64.45	Professional	TC	$54.62	$54.62	$64.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $37.00 / $80.91	Professional		$30.49	$37.00	$80.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.49 / $6.14 / $49.25	Professional	26	$5.49	$6.14	$49.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.50 / $30.90 / $66.62	Professional	TC	$24.50	$30.90	$66.62
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $49.45 / $85.37	Professional		$41.69	$49.45	$85.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $9.23 / $12.63	Professional	26	$7.28	$9.23	$12.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.40 / $39.79 / $71.06	Professional	TC	$34.40	$39.79	$71.06