Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.92 / $371.52 / $1,397.51	Facility		$209.92	$371.52	$1,397.51
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.79 / $41.52 / $56.05	Facility	26	$31.79	$41.52	$56.05
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $179.41 / $196.10 / $2,063.14	Facility	TC	$179.41	$196.10	$2,063.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.65 / $214.07 / $275.85	Professional		$157.65	$214.07	$275.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.48 / $40.31 / $45.95	Professional	26	$29.48	$40.31	$45.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.16 / $175.32 / $197.59	Professional	TC	$128.16	$175.32	$197.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.12 / $134.00 / $212.83	Professional		$126.12	$134.00	$212.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.74 / $30.95 / $44.22	Professional	26	$23.74	$30.95	$44.22
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $102.54 / $173.03 / $173.03	Professional	TC	$102.54	$173.03	$173.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.09 / $271.27 / $364.97	Facility		$224.09	$271.27	$364.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.62 / $181.67 / $214.37	Professional		$132.62	$181.67	$214.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.71 / $33.85 / $39.94	Professional	26	$24.71	$33.85	$39.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $107.91 / $147.82 / $174.43	Professional	TC	$107.91	$147.82	$174.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.05 / $351.65 / $629.01	Facility		$226.05	$351.65	$629.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.40 / $202.78 / $481.51	Professional		$141.40	$202.78	$481.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.99 / $35.34 / $89.03	Professional	26	$28.99	$35.34	$89.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $119.97 / $175.23 / $427.79	Professional	TC	$119.97	$175.23	$427.79
United Facility/Professional Professional Modifier Low / Median / High Price $149.13 / $184.93 / $312.33	Professional		$149.13	$184.93	$312.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.53 / $33.85 / $45.45	Professional	26	$26.53	$33.85	$45.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.54 / $155.31 / $269.95	Professional	TC	$120.54	$155.31	$269.95