Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.12 / $186.46 / $455.99	Facility		$138.12	$186.46	$455.99
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.00 / $29.00 / $39.15	Facility	26	$29.00	$29.00	$39.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.54 / $129.78 / $145.02	Professional		$99.54	$129.78	$145.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.37 / $26.33 / $30.45	Professional	26	$20.37	$26.33	$30.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.51 / $106.95 / $114.57	Professional	TC	$78.51	$106.95	$114.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.09 / $22.09 / $22.09	Professional	26	$22.09	$22.09	$22.09
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 $107.31 / $147.00 / $173.46	Professional		$107.31	$147.00	$173.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $31.38 / $37.03	Professional	26	$22.91	$31.38	$37.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $84.40 / $115.62 / $136.43	Professional	TC	$84.40	$115.62	$136.43
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 $88.96 / $127.56 / $299.63	Professional		$88.96	$127.56	$299.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.38 / $25.01 / $60.16	Professional	26	$18.38	$25.01	$60.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.47 / $111.83 / $250.98	Professional	TC	$84.47	$111.83	$250.98
United Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $71.61 / $107.27	Facility		$16.73	$71.61	$107.27
United Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $117.26 / $204.45	Professional		$92.57	$117.26	$204.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.95 / $23.97 / $32.36	Professional	26	$18.95	$23.97	$32.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.62 / $88.51 / $168.33	Professional	TC	$73.62	$88.51	$168.33