Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.47 / $290.70 / $760.75	Facility		$143.47	$290.70	$760.75
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.14 / $27.25 / $27.25	Facility	26	$19.14	$27.25	$27.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.48 / $149.81 / $196.07	Professional		$110.48	$149.81	$196.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.14 / $25.18 / $28.61	Professional	26	$19.14	$25.18	$28.61
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $52.02 / $74.91 / $77.45	Professional	52	$52.02	$74.91	$77.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.34 / $122.57 / $165.46	Professional	TC	$91.34	$122.57	$165.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $113.34 / $146.40	Professional		$88.39	$113.34	$146.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.38 / $19.38 / $20.10	Professional	26	$19.38	$19.38	$20.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.66 / $270.76 / $364.26	Facility		$223.66	$270.76	$364.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.42 / $154.00 / $181.72	Professional		$112.42	$154.00	$181.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.10 / $30.80	Professional	26	$19.05	$26.10	$30.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.37 / $127.90 / $150.91	Professional	TC	$93.37	$127.90	$150.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.91 / $224.17 / $407.14	Facility		$138.91	$224.17	$407.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.71 / $142.53 / $327.55	Professional		$100.71	$142.53	$327.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.98 / $22.94 / $61.39	Professional	26	$18.98	$22.94	$61.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.13 / $126.97 / $305.41	Professional	TC	$92.13	$126.97	$305.41
United Facility/Professional Professional Modifier Low / Median / High Price $101.24 / $128.22 / $220.44	Professional		$101.24	$128.22	$220.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.05 / $21.69 / $29.93	Professional	26	$17.05	$21.69	$29.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.18 / $104.48 / $189.71	Professional	TC	$84.18	$104.48	$189.71