Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $281.84 / $562.34	Facility		$48.98	$281.84	$562.34
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.41 / $8.91 / $13.18	Facility	26	$7.41	$8.91	$13.18
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $13.80 / $25.12 / $446.68	Facility	TC	$13.80	$25.12	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $27.54 / $85.11	Professional		$17.78	$27.54	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $8.91 / $42.66	Professional	26	$7.41	$8.91	$42.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $16.98 / $34.67	Professional	TC	$10.00	$16.98	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.05 / $29.51	Professional		$16.22	$19.05	$29.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $7.94 / $13.49	Professional	26	$6.46	$7.94	$13.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $16.22 / $21.88	Professional	TC	$10.00	$16.22	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $154.88 / $251.19	Facility		$74.13	$154.88	$251.19
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $83.18 / $83.18 / $109.65	Facility	TC	$83.18	$83.18	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $54.95	Professional		$24.55	$33.11	$54.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $14.45 / $22.91	Professional	26	$8.51	$14.45	$22.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $18.20 / $29.51	Professional	TC	$15.85	$18.20	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $165.96 / $446.68	Facility		$16.98	$165.96	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.30 / $39.81	Professional		$19.50	$26.30	$39.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.96 / $18.20	Professional	26	$8.13	$10.96	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $15.14 / $25.70	Professional	TC	$10.72	$15.14	$25.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $28.84 / $54.95	Facility		$20.89	$28.84	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $363.08 / $562.34	Facility		$81.28	$363.08	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.70 / $46.77	Professional		$17.78	$25.70	$46.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.72 / $17.78	Professional	26	$8.51	$10.72	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $15.85 / $26.92	Professional	TC	$9.33	$15.85	$26.92