Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.36 / $247.36 / $1,751.25	Facility		$247.36	$247.36	$1,751.25
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.76 / $66.76 / $66.76	Facility	26	$66.76	$66.76	$66.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.03 / $155.94 / $247.36	Professional		$131.03	$155.94	$247.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.43 / $42.19 / $66.76	Professional	26	$34.43	$42.19	$66.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.60 / $116.59 / $180.60	Professional	TC	$96.60	$116.59	$180.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.87 / $113.87 / $231.05	Professional		$113.87	$113.87	$231.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.43 / $41.43 / $59.63	Professional	26	$41.43	$41.43	$59.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.16 / $228.34 / $307.19	Facility		$188.16	$228.34	$307.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.01 / $290.43 / $372.33	Professional		$212.01	$290.43	$372.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.38 / $67.65 / $86.73	Professional	26	$49.38	$67.65	$86.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.63 / $222.78 / $285.60	Professional	TC	$162.63	$222.78	$285.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.22 / $138.91 / $285.81	Facility		$115.22	$138.91	$285.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.36 / $220.51 / $784.06	Professional		$138.36	$220.51	$784.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.52 / $67.59 / $189.85	Professional	26	$39.52	$67.59	$189.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.84 / $152.91 / $542.03	Professional	TC	$98.84	$152.91	$542.03
United Facility/Professional Professional Modifier Low / Median / High Price $118.23 / $154.10 / $284.35	Professional		$118.23	$154.10	$284.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.09 / $41.07 / $82.08	Professional	26	$31.09	$41.07	$82.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.42 / $113.68 / $203.98	Professional	TC	$88.42	$113.68	$203.98