Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $851.14 / $4,168.69	Facility		$346.74	$851.14	$4,168.69
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $125.89 / $138.04	Facility	26	$64.57	$125.89	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $331.13 / $630.96	Professional		$173.78	$331.13	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $75.86 / $190.55	Professional	26	$63.10	$75.86	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $169.82 / $354.81	Professional	TC	$117.49	$169.82	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $275.42	Professional		$134.90	$186.21	$275.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $67.61 / $97.72	Professional	26	$53.70	$67.61	$97.72
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $151.36 / $251.19	Professional	TC	$107.15	$151.36	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $1,023.29	Facility		$630.96	$758.58	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $281.84	Professional		$154.88	$257.04	$281.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $95.50 / $104.71	Professional	26	$57.54	$95.50	$104.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $162.18 / $181.97	Professional	TC	$97.72	$162.18	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $707.95 / $1,000.00	Facility		$407.38	$707.95	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $295.12 / $575.44	Professional		$154.88	$295.12	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $93.33 / $208.93	Professional	26	$66.07	$93.33	$208.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $218.78 / $389.05	Professional	TC	$125.89	$218.78	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $234.42 / $851.14	Facility		$61.66	$234.42	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $398.11	Professional		$158.49	$213.80	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $72.44 / $117.49	Professional	26	$56.23	$72.44	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $134.90 / $269.15	Professional	TC	$102.33	$134.90	$269.15