Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.37 / $116.34 / $256.99	Facility		$108.37	$116.34	$256.99
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.53 / $21.53 / $107.10	Facility	26	$21.53	$21.53	$107.10
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $191.25 / $284.52 / $458.20	Facility	TC	$191.25	$284.52	$458.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $37.17 / $80.15	Professional		$31.22	$37.17	$80.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.80 / $21.53 / $26.47	Professional	26	$16.80	$21.53	$26.47
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.42 / $18.59 / $24.60	Professional	52	$15.42	$18.59	$24.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.67 / $16.03 / $55.64	Professional	TC	$13.67	$16.03	$55.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $32.42 / $32.42	Professional		$32.42	$32.42	$32.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.23 / $92.51 / $124.46	Facility		$76.23	$92.51	$124.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $53.20 / $62.78	Professional		$38.84	$53.20	$62.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.55 / $21.30 / $25.13	Professional	26	$15.55	$21.30	$25.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.29 / $31.90 / $37.64	Professional	TC	$23.29	$31.90	$37.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $69.31 / $158.22	Professional		$34.00	$69.31	$158.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $24.03 / $51.12	Professional	26	$17.78	$24.03	$51.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.50 / $46.78 / $107.11	Professional	TC	$14.50	$46.78	$107.11
United Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $45.83 / $85.54	Professional		$35.29	$45.83	$85.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.51 / $21.11 / $29.12	Professional	26	$16.51	$21.11	$29.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.94 / $23.82 / $57.01	Professional	TC	$17.94	$23.82	$57.01