Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.92 / $191.33 / $592.28	Facility		$32.92	$191.33	$592.28
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.98 / $11.74 / $26.04	Facility	26	$8.98	$11.74	$26.04
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.17 / $221.27 / $377.70	Facility	TC	$21.17	$221.27	$377.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.17 / $34.56	Professional		$17.78	$23.17	$34.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.16 / $8.65 / $12.32	Professional	26	$7.16	$8.65	$12.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.69 / $14.51 / $22.22	Professional	TC	$9.69	$14.51	$22.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $19.12 / $46.90	Professional		$15.30	$19.12	$46.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.38 / $8.96 / $10.57	Professional	26	$6.38	$8.96	$10.57
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 $26.28 / $37.00 / $43.66	Professional		$26.28	$37.00	$43.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $19.80 / $23.36	Professional	26	$14.45	$19.80	$23.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.56 / $17.20 / $20.30	Professional	TC	$12.56	$17.20	$20.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.45 / $133.21 / $228.67	Facility		$60.45	$133.21	$228.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $23.68 / $36.31	Professional		$18.00	$23.68	$36.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $11.27 / $17.78	Professional	26	$6.77	$11.27	$17.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.65 / $13.30 / $20.83	Professional	TC	$9.65	$13.30	$20.83
United Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $159.62 / $161.80	Facility		$72.81	$159.62	$161.80
United Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $23.69 / $31.18	Professional		$16.09	$23.69	$31.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.04 / $9.00 / $12.88	Professional	26	$7.04	$9.00	$12.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.14 / $14.22 / $18.47	Professional	TC	$8.14	$14.22	$18.47