Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $549.54 / $602.56	Facility		$60.26	$549.54	$602.56
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $16.98 / $22.39	Facility	26	$16.98	$16.98	$22.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $181.97	Professional		$61.66	$75.86	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.05 / $34.67	Professional	26	$15.85	$19.05	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $52.48 / $114.82	Professional	TC	$42.66	$52.48	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $223.87 / $302.00	Facility		$186.21	$223.87	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $141.25 / $169.82	Professional		$70.79	$141.25	$169.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $41.69 / $48.98	Professional	26	$20.89	$41.69	$48.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $100.00 / $120.23	Professional	TC	$50.12	$100.00	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $302.00 / $537.03	Facility		$114.82	$302.00	$537.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.37 / $20.42 / $29.51	Facility	26	$4.37	$20.42	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $120.23 / $257.04	Professional		$61.66	$120.23	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $19.50 / $38.90	Professional	26	$16.60	$19.50	$38.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $102.33 / $213.80	Professional	TC	$43.65	$102.33	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $281.84 / $331.13	Facility		$245.47	$281.84	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $147.91	Professional		$47.86	$72.44	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $18.62 / $28.84	Professional	26	$13.49	$18.62	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $54.95 / $125.89	Professional	TC	$36.31	$54.95	$125.89