Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $45.35 / $301.86	Facility		$29.84	$45.35	$301.86
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.74 / $11.74 / $12.43	Facility	26	$11.74	$11.74	$12.43
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.95 / $33.61 / $45.38	Facility	TC	$22.95	$33.61	$45.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $33.50 / $45.36	Professional		$26.10	$33.50	$45.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.81 / $10.61 / $12.32	Professional	26	$6.81	$10.61	$12.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.30 / $22.94 / $33.61	Professional	TC	$19.30	$22.94	$33.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $26.29 / $26.82	Professional		$26.29	$26.29	$26.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.38 / $8.77 / $14.18	Professional	26	$6.38	$8.77	$14.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $92.49 / $124.43	Facility		$76.20	$92.49	$124.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $51.50 / $60.77	Professional		$37.60	$51.50	$60.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.84 / $18.96 / $22.37	Professional	26	$13.84	$18.96	$22.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.75 / $32.54 / $38.40	Professional	TC	$23.75	$32.54	$38.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.71 / $130.72 / $272.39	Facility		$43.71	$130.72	$272.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.99 / $12.99 / $13.10	Facility	26	$12.99	$12.99	$13.10
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $22.76 / $22.76 / $22.96	Facility	TC	$22.76	$22.76	$22.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $43.38 / $88.64	Professional		$27.71	$43.38	$88.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $14.13 / $30.00	Professional	26	$7.02	$14.13	$30.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.72 / $28.54 / $64.23	Professional	TC	$19.72	$28.54	$64.23
United Facility/Professional Facility Modifier Low / Median / High Price $110.91 / $140.72 / $164.58	Facility		$110.91	$140.72	$164.58
United Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $33.32 / $47.59	Professional		$27.07	$33.32	$47.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.06 / $10.19 / $17.84	Professional	26	$8.06	$10.19	$17.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.86 / $22.71 / $31.18	Professional	TC	$17.86	$22.71	$31.18