Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.80 / $102.87 / $244.76	Facility		$49.80	$102.87	$244.76
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 Professional Modifier Low / Median / High Price $36.36 / $49.80 / $93.29	Professional		$36.36	$49.80	$93.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.11 / $30.90 / $34.40	Professional	26	$21.11	$30.90	$34.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.96 / $24.90 / $30.18	Professional	52	$17.96	$24.90	$30.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.28 / $18.91 / $59.03	Professional	TC	$13.28	$18.91	$59.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.35 / $44.35 / $44.35	Professional		$44.35	$44.35	$44.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.51 / $28.51 / $28.51	Professional	26	$28.51	$28.51	$28.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.42 / $92.51 / $124.46	Facility		$76.42	$92.51	$124.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $98.55 / $116.29	Professional		$68.98	$98.55	$116.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.16 / $64.51 / $76.12	Professional	26	$45.16	$64.51	$76.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.83 / $34.04 / $40.17	Professional	TC	$23.83	$34.04	$40.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $82.47 / $224.88	Professional		$42.82	$82.47	$224.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.68 / $31.29 / $81.75	Professional	26	$23.68	$31.29	$81.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.08 / $52.49 / $143.13	Professional	TC	$15.08	$52.49	$143.13
United Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $58.50 / $98.70	Professional		$46.94	$58.50	$98.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.19 / $30.06 / $37.31	Professional	26	$23.19	$30.06	$37.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $30.34 / $62.13	Professional	TC	$23.82	$30.34	$62.13