Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $165.96 / $407.38	Facility		$33.11	$165.96	$407.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $11.75 / $11.75	Facility	26	$7.94	$11.75	$11.75
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.38 / $21.38 / $363.08	Facility	TC	$21.38	$21.38	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $28.84 / $75.86	Professional		$16.60	$28.84	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.33 / $35.48	Professional	26	$7.08	$9.33	$35.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $18.20 / $44.67	Professional	TC	$10.00	$18.20	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.20 / $23.44	Professional		$15.49	$18.20	$23.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.13 / $12.02	Professional	26	$6.31	$8.13	$12.02
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $13.18 / $19.95	Professional	TC	$11.75	$13.18	$19.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $93.33 / $125.89	Facility		$79.43	$93.33	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $37.15 / $45.71	Professional		$25.70	$37.15	$45.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $19.95 / $25.12	Professional	26	$13.80	$19.95	$25.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $17.38 / $21.88	Professional	TC	$12.02	$17.38	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $141.25 / $229.09	Facility		$52.48	$141.25	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.55 / $50.12	Professional		$18.20	$24.55	$50.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $11.48 / $22.39	Professional	26	$8.32	$11.48	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $14.45 / $34.67	Professional	TC	$10.00	$14.45	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $128.82 / $158.49	Facility		$10.23	$128.82	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.99 / $31.62	Professional		$16.22	$23.99	$31.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.91 / $13.49	Professional	26	$7.08	$8.91	$13.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.13 / $14.13 / $19.95	Professional	TC	$8.13	$14.13	$19.95