Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.38 / $147.36 / $306.89	Facility		$97.38	$147.36	$306.89
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.23 / $31.32 / $33.25	Facility	26	$30.23	$31.32	$33.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $141.38 / $258.54	Professional		$105.06	$141.38	$258.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.50 / $28.19 / $48.69	Professional	26	$20.50	$28.19	$48.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.83 / $112.72 / $178.49	Professional	TC	$74.83	$112.72	$178.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $170.34 / $170.34	Professional		$170.34	$170.34	$170.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.46 / $35.46 / $38.47	Professional	26	$35.46	$35.46	$38.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.45 / $101.45 / $101.45	Facility		$101.45	$101.45	$101.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.64 / $160.99 / $160.99	Professional		$121.64	$160.99	$160.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.55 / $35.14 / $35.14	Professional	26	$26.55	$35.14	$35.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.09 / $125.86 / $125.86	Professional	TC	$95.09	$125.86	$125.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.54 / $123.30 / $196.03	Facility		$94.54	$123.30	$196.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.49 / $180.61 / $215.18	Professional		$114.49	$180.61	$215.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.59 / $32.90 / $44.40	Professional	26	$22.59	$32.90	$44.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.12 / $141.25 / $185.87	Professional	TC	$91.12	$141.25	$185.87
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $44.25 / $44.25 / $44.25	Professional	26	$44.25	$44.25	$44.25
United Facility/Professional Facility Modifier Low / Median / High Price $110.74 / $180.78 / $191.41	Facility		$110.74	$180.78	$191.41
United Facility/Professional Professional Modifier Low / Median / High Price $107.59 / $151.16 / $213.88	Professional		$107.59	$151.16	$213.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.97 / $27.81 / $46.06	Professional	26	$20.97	$27.81	$46.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.56 / $123.47 / $181.44	Professional	TC	$86.56	$123.47	$181.44