Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $245.47	Facility		$102.33	$102.33	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $63.10 / $177.83	Professional		$37.15	$63.10	$177.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $38.02 / $104.71	Professional	26	$25.12	$38.02	$104.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.65 / $120.23 / $275.42	Professional	50	$43.65	$120.23	$275.42
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.39 / $22.39 / $22.39	Professional	52	$22.39	$22.39	$22.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $21.88 / $77.62	Professional	TC	$14.79	$21.88	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $43.65 / $60.26	Professional		$38.90	$43.65	$60.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $28.18 / $43.65	Professional	26	$25.12	$28.18	$43.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $93.33 / $125.89	Facility		$79.43	$93.33	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $97.72 / $109.65	Professional		$38.02	$97.72	$109.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $64.57 / $70.79	Professional	26	$24.55	$64.57	$70.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $33.88 / $37.15	Professional	TC	$13.18	$33.88	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $77.62 / $190.55	Professional		$43.65	$77.62	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $35.48 / $89.13	Professional	26	$25.12	$35.48	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $52.48 / $104.71	Professional	TC	$15.49	$52.48	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $87.10 / $204.17	Facility		$25.12	$87.10	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $100.00	Professional		$47.86	$61.66	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $29.51 / $38.02	Professional	26	$22.39	$29.51	$38.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $31.62 / $64.57	Professional	TC	$23.99	$31.62	$64.57