Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $269.15 / $676.08	Facility		$93.33	$269.15	$676.08
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	26	$30.90	$30.90	$30.90
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $58.88 / $63.10 / $63.10	Facility	TC	$58.88	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $144.54 / $912.01	Professional		$60.26	$144.54	$912.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $154.88 / $831.76	Professional	26	$22.39	$154.88	$831.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $61.66 / $213.80	Professional	TC	$38.90	$61.66	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $33.88 / $35.48	Professional	26	$33.88	$33.88	$35.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $102.33	Professional		$72.44	$87.10	$102.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $28.84 / $33.88	Professional	26	$28.84	$28.84	$33.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $57.54 / $67.61	Professional	TC	$48.98	$57.54	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $112.20	Professional		$30.90	$41.69	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $14.13 / $47.86	Professional	26	$10.47	$14.13	$47.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $26.92 / $74.13	Professional	TC	$20.42	$26.92	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $56.23 / $93.33	Professional		$48.98	$56.23	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $18.62 / $29.51	Professional	26	$16.60	$18.62	$29.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $38.90 / $64.57	Professional	TC	$33.11	$38.90	$64.57