Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.09 / $149.49 / $281.91	Facility		$83.09	$149.49	$281.91
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.18 / $24.13 / $26.94	Facility	26	$22.18	$24.13	$26.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $111.62 / $169.56	Professional		$67.34	$111.62	$169.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.73 / $19.89 / $28.45	Professional	26	$16.73	$19.89	$28.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.92 / $83.17 / $145.75	Professional	TC	$47.92	$83.17	$145.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.69 / $29.69 / $29.69	Professional	26	$29.69	$29.69	$29.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $265.83 / $265.83 / $265.83	Facility		$265.83	$265.83	$265.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $92.62 / $92.62	Professional		$69.98	$92.62	$92.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.73 / $27.44 / $27.44	Professional	26	$20.73	$27.44	$27.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.25 / $65.18 / $65.18	Professional	TC	$49.25	$65.18	$65.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.30 / $236.39 / $270.76	Facility		$193.30	$236.39	$270.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.96 / $101.69 / $166.75	Professional		$61.96	$101.69	$166.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.68 / $26.54 / $40.90	Professional	26	$17.68	$26.54	$40.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.04 / $72.19 / $143.72	Professional	TC	$42.04	$72.19	$143.72
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $34.14 / $34.14 / $34.14	Professional	26	$34.14	$34.14	$34.14
United Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $90.80 / $161.81	Professional		$50.89	$90.80	$161.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.30 / $22.35 / $35.44	Professional	26	$16.30	$22.35	$35.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.73 / $68.95 / $172.91	Professional	TC	$41.73	$68.95	$172.91