Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.01 / $145.19 / $145.19	Facility		$111.01	$145.19	$145.19
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.59 / $68.59 / $68.59	Facility	26	$68.59	$68.59	$68.59
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $34.20 / $34.20 / $42.42	Facility	TC	$34.20	$34.20	$42.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $89.65 / $111.01	Professional		$75.48	$89.65	$111.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.01 / $55.45 / $68.59	Professional	26	$46.01	$55.45	$68.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.07 / $34.20 / $43.36	Professional	TC	$28.07	$34.20	$43.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.30 / $66.30 / $73.47	Professional	26	$66.30	$66.30	$73.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $122.00 / $143.96	Professional		$122.00	$122.00	$143.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.00 / $107.00 / $126.26	Professional	26	$107.00	$107.00	$126.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.00 / $15.00 / $17.70	Professional	TC	$15.00	$15.00	$17.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $52.02 / $122.00	Professional		$40.49	$52.02	$122.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.29 / $31.79 / $111.00	Professional	26	$28.29	$31.79	$111.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.83 / $17.89 / $34.97	Professional	TC	$15.83	$17.89	$34.97
United Facility/Professional Professional Modifier Low / Median / High Price $56.26 / $70.25 / $110.36	Professional		$56.26	$70.25	$110.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.63 / $39.19 / $65.31	Professional	26	$37.63	$39.19	$65.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.63 / $21.01 / $35.01	Professional	TC	$18.63	$21.01	$35.01