Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.04 / $270.60 / $405.90	Facility		$94.04	$270.60	$405.90
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.12 / $31.12 / $31.12	Facility	26	$31.12	$31.12	$31.12
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $58.19 / $58.19 / $62.89	Facility	TC	$58.19	$58.19	$62.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $83.51 / $95.83	Professional		$59.78	$83.51	$95.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.78 / $25.32 / $31.13	Professional	26	$18.78	$25.32	$31.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.00 / $58.18 / $67.28	Professional	TC	$41.00	$58.18	$67.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $42.76 / $98.76	Professional		$41.76	$42.76	$98.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.66 / $30.30 / $33.56	Professional	26	$12.66	$30.30	$33.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.69 / $86.34 / $101.88	Professional		$72.69	$86.34	$101.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.67 / $28.67 / $33.83	Professional	26	$28.67	$28.67	$33.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.55 / $57.67 / $68.05	Professional	TC	$48.55	$57.67	$68.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $44.92 / $98.81	Professional		$30.69	$44.92	$98.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $14.12 / $47.35	Professional	26	$10.47	$14.12	$47.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.23 / $27.63 / $68.30	Professional	TC	$20.23	$27.63	$68.30
United Facility/Professional Professional Modifier Low / Median / High Price $50.49 / $56.51 / $94.19	Professional		$50.49	$56.51	$94.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.09 / $18.67 / $32.54	Professional	26	$17.09	$18.67	$32.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.15 / $38.76 / $71.06	Professional	TC	$33.15	$38.76	$71.06