Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $213.43 / $622.79	Facility		$174.27	$213.43	$622.79
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.40 / $47.42 / $47.43	Facility	26	$34.40	$47.42	$47.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.18 / $204.21 / $224.10	Professional		$153.18	$204.21	$224.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.90 / $41.93 / $49.80	Professional	26	$31.90	$41.93	$49.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $118.90 / $166.00 / $178.73	Professional	TC	$118.90	$166.00	$178.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.55 / $122.55 / $133.37	Professional		$122.55	$122.55	$133.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.92 / $34.92 / $36.00	Professional	26	$34.92	$34.92	$36.00
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 $203.70 / $291.00 / $343.38	Professional		$203.70	$291.00	$343.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.58 / $46.00 / $54.28	Professional	26	$33.58	$46.00	$54.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $171.50 / $245.00 / $289.10	Professional	TC	$171.50	$245.00	$289.10
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 $162.60 / $244.07 / $512.61	Professional		$162.60	$244.07	$512.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.96 / $39.01 / $98.22	Professional	26	$27.96	$39.01	$98.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $127.60 / $172.46 / $399.98	Professional	TC	$127.60	$172.46	$399.98
United Facility/Professional Professional Modifier Low / Median / High Price $140.16 / $173.17 / $288.88	Professional		$140.16	$173.17	$288.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.32 / $37.90 / $52.03	Professional	26	$30.32	$37.90	$52.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $111.42 / $140.97 / $243.72	Professional	TC	$111.42	$140.97	$243.72