Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.75 / $442.20 / $581.63	Facility		$107.75	$442.20	$581.63
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.46 / $38.46 / $38.46	Facility	26	$38.46	$38.46	$38.46
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $66.23 / $66.23 / $69.28	Facility	TC	$66.23	$66.23	$69.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $91.14 / $108.05	Professional		$73.14	$91.14	$108.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.90 / $34.85 / $38.47	Professional	26	$25.90	$34.85	$38.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.24 / $66.23 / $72.86	Professional	TC	$47.24	$66.23	$72.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $98.80 / $115.40	Professional		$48.75	$98.80	$115.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.63 / $37.39 / $41.42	Professional	26	$15.63	$37.39	$41.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $101.67 / $119.97	Professional		$94.00	$101.67	$119.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.81 / $39.53 / $46.65	Professional	26	$35.81	$39.53	$46.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.89 / $62.14 / $73.33	Professional	TC	$60.89	$62.14	$73.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $51.70 / $133.99	Professional		$41.40	$51.70	$133.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.03 / $19.66 / $93.00	Professional	26	$16.03	$19.66	$93.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.87 / $31.34 / $78.06	Professional	TC	$23.87	$31.34	$78.06
United Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $68.38 / $113.91	Professional		$58.78	$68.38	$113.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.28 / $32.74 / $44.64	Professional	26	$21.28	$32.74	$44.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.50 / $42.22 / $70.38	Professional	TC	$37.50	$42.22	$70.38