Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.42 / $674.30 / $2,257.00	Facility		$343.42	$674.30	$2,257.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.31 / $124.62 / $168.23	Facility	26	$67.31	$124.62	$168.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.83 / $254.66 / $360.59	Professional		$168.83	$254.66	$360.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.59 / $80.64 / $130.85	Professional	26	$62.59	$80.64	$130.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $106.25 / $183.15 / $229.74	Professional	TC	$106.25	$183.15	$229.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.07 / $223.70 / $227.92	Professional		$135.07	$223.70	$227.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $82.93 / $110.19	Professional	26	$50.07	$82.93	$110.19
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $86.48 / $90.31 / $143.44	Professional	TC	$86.48	$90.31	$143.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $619.33 / $749.75 / $1,008.66	Facility		$619.33	$749.75	$1,008.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.07 / $259.00 / $305.62	Professional		$189.07	$259.00	$305.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.59 / $95.34 / $112.50	Professional	26	$69.59	$95.34	$112.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $119.47 / $163.66 / $193.12	Professional	TC	$119.47	$163.66	$193.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $406.35 / $486.85 / $989.15	Facility		$406.35	$486.85	$989.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $270.51 / $555.70	Professional		$160.00	$270.51	$555.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.72 / $92.42 / $202.70	Professional	26	$64.72	$92.42	$202.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.64 / $215.31 / $383.62	Professional	TC	$120.64	$215.31	$383.62
United Facility/Professional Professional Modifier Low / Median / High Price $158.62 / $200.92 / $348.75	Professional		$158.62	$200.92	$348.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.72 / $72.41 / $104.26	Professional	26	$55.72	$72.41	$104.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.32 / $132.01 / $249.78	Professional	TC	$102.32	$132.01	$249.78