Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.67 / $135.34 / $478.84	Facility		$42.67	$135.34	$478.84
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.02 / $14.02 / $44.20	Facility	26	$14.02	$14.02	$44.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.64 / $221.96 / $332.46	Facility	TC	$28.64	$221.96	$332.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $31.67 / $44.80	Professional		$25.77	$31.67	$44.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.58 / $10.54 / $14.73	Professional	26	$8.58	$10.54	$14.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.19 / $20.67 / $30.07	Professional	TC	$17.19	$20.67	$30.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $28.83 / $49.52	Professional		$23.31	$28.83	$49.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.64 / $10.72 / $12.65	Professional	26	$7.64	$10.72	$12.65
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.32 / $16.64 / $26.43	Professional	TC	$13.32	$16.64	$26.43
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 $36.50 / $50.00 / $59.00	Professional		$36.50	$50.00	$59.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.43 / $23.88 / $28.18	Professional	26	$17.43	$23.88	$28.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $26.12 / $30.82	Professional	TC	$19.07	$26.12	$30.82
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 $23.30 / $32.97 / $54.74	Professional		$23.30	$32.97	$54.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $13.58 / $21.28	Professional	26	$8.41	$13.58	$21.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.94 / $22.43 / $37.33	Professional	TC	$16.94	$22.43	$37.33
United Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $30.27 / $41.57	Professional		$23.71	$30.27	$41.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $10.76 / $15.41	Professional	26	$8.39	$10.76	$15.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.67 / $20.25 / $26.41	Professional	TC	$14.67	$20.25	$26.41