Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $154.88 / $489.78	Facility		$42.66	$154.88	$489.78
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $14.13 / $14.13	Facility	26	$9.55	$14.13	$14.13
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.84 / $57.54 / $331.13	Facility	TC	$28.84	$57.54	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.69 / $87.10	Professional		$25.12	$41.69	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.02 / $35.48	Professional	26	$7.94	$12.02	$35.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $25.12 / $56.23	Professional	TC	$17.38	$25.12	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $38.90	Professional		$20.89	$25.12	$38.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.23 / $14.79	Professional	26	$7.59	$10.23	$14.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $16.98 / $28.18	Professional	TC	$14.13	$16.98	$28.18
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 $34.67 / $50.12 / $64.57	Professional		$34.67	$50.12	$64.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $23.99 / $30.90	Professional	26	$16.60	$23.99	$30.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.30 / $33.11	Professional	TC	$18.20	$26.30	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $141.25 / $229.09	Facility		$54.95	$141.25	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $69.18	Professional		$23.44	$35.48	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $13.80 / $26.30	Professional	26	$10.00	$13.80	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $24.55 / $47.86	Professional	TC	$17.38	$24.55	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $128.82 / $158.49	Facility		$18.62	$128.82	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $45.71	Professional		$23.44	$30.90	$45.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.72 / $16.22	Professional	26	$8.32	$10.72	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $20.42 / $28.18	Professional	TC	$14.79	$20.42	$28.18