Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.41 / $205.64 / $1,160.55	Facility		$138.41	$205.64	$1,160.55
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.65 / $28.60 / $91.80	Facility	26	$20.65	$28.60	$91.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.76 / $139.15 / $159.94	Professional		$112.76	$139.15	$159.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.44 / $26.70 / $30.04	Professional	26	$19.44	$26.70	$30.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.18 / $112.49 / $129.90	Professional	TC	$92.18	$112.49	$129.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $96.73 / $237.74	Professional		$85.80	$96.73	$237.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.73 / $20.75 / $27.77	Professional	26	$16.73	$20.75	$27.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.62 / $178.70 / $240.41	Facility		$147.62	$178.70	$240.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.39 / $143.00 / $168.74	Professional		$104.39	$143.00	$168.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $23.81 / $28.10	Professional	26	$17.38	$23.81	$28.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.01 / $119.19 / $140.63	Professional	TC	$87.01	$119.19	$140.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.38 / $158.07 / $281.31	Facility		$111.38	$158.07	$281.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.58 / $156.24 / $367.87	Professional		$107.58	$156.24	$367.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.23 / $24.16 / $59.33	Professional	26	$18.23	$24.16	$59.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.56 / $133.74 / $339.72	Professional	TC	$91.56	$133.74	$339.72
United Facility/Professional Professional Modifier Low / Median / High Price $113.72 / $139.66 / $239.66	Professional		$113.72	$139.66	$239.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.51 / $22.41 / $31.64	Professional	26	$18.51	$22.41	$31.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $96.09 / $116.22 / $210.61	Professional	TC	$96.09	$116.22	$210.61