Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $446.68 / $575.44	Facility		$107.15	$446.68	$575.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $38.90 / $38.90	Facility	26	$38.90	$38.90	$38.90
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $67.61 / $69.18 / $69.18	Facility	TC	$67.61	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $407.38	Professional		$63.10	$107.15	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $47.86 / $275.42	Professional	26	$20.89	$47.86	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $69.18 / $758.58	Professional	TC	$43.65	$69.18	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $134.90	Professional		$48.98	$48.98	$134.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $37.15 / $42.66	Professional	26	$15.49	$37.15	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $120.23	Professional		$93.33	$102.33	$120.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $39.81 / $46.77	Professional	26	$35.48	$39.81	$46.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $61.66 / $74.13	Professional	TC	$60.26	$61.66	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $162.18	Professional		$41.69	$51.29	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.50 / $93.33	Professional	26	$15.85	$19.50	$93.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $31.62 / $91.20	Professional	TC	$23.99	$31.62	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $114.82	Professional		$58.88	$77.62	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $33.11 / $44.67	Professional	26	$21.38	$33.11	$44.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $42.66 / $70.79	Professional	TC	$36.31	$42.66	$70.79