Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.88 / $153.15 / $234.52	Facility		$102.88	$153.15	$234.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $12.88 / $29.44	Facility	26	$12.88	$12.88	$29.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.81 / $121.06 / $160.81	Professional		$103.81	$121.06	$160.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.65 / $22.28 / $30.63	Professional	26	$11.65	$22.28	$30.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.14 / $102.06 / $129.90	Professional	TC	$84.14	$102.06	$129.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.26 / $27.26 / $27.26	Professional	26	$27.26	$27.26	$27.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.82 / $146.33 / $172.67	Professional		$106.82	$146.33	$172.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.66 / $24.19 / $28.54	Professional	26	$17.66	$24.19	$28.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.16 / $122.14 / $144.13	Professional	TC	$89.16	$122.14	$144.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.19 / $137.19 / $137.19	Facility		$137.19	$137.19	$137.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.97 / $203.77 / $383.12	Professional		$131.97	$203.77	$383.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.84 / $24.00 / $68.50	Professional	26	$12.84	$24.00	$68.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $110.60 / $175.05 / $324.18	Professional	TC	$110.60	$175.05	$324.18
United Facility/Professional Professional Modifier Low / Median / High Price $110.90 / $147.30 / $221.80	Professional		$110.90	$147.30	$221.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $21.78 / $30.75	Professional	26	$14.07	$21.78	$30.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.97 / $124.30 / $199.22	Professional	TC	$92.97	$124.30	$199.22