Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.14 / $154.00 / $483.73	Facility		$50.14	$154.00	$483.73
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.62 / $14.43 / $19.48	Facility	26	$11.62	$14.43	$19.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $35.68 / $217.38 / $933.22	Facility	TC	$35.68	$217.38	$933.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $37.07 / $52.64	Professional		$30.16	$37.07	$52.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $10.86 / $15.16	Professional	26	$8.84	$10.86	$15.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.33 / $25.18 / $37.47	Professional	TC	$21.33	$25.18	$37.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $40.54 / $45.30	Professional		$26.60	$40.54	$45.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $9.83 / $13.02	Professional	26	$7.87	$9.83	$13.02
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.55 / $21.34 / $46.29	Professional	TC	$16.55	$21.34	$46.29
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 $38.33 / $52.50 / $61.95	Professional		$38.33	$52.50	$61.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $18.05 / $21.30	Professional	26	$13.18	$18.05	$21.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.15 / $34.45 / $40.65	Professional	TC	$25.15	$34.45	$40.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.43 / $108.05 / $202.38	Facility		$40.43	$108.05	$202.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.16 / $12.16 / $12.27	Facility	26	$12.16	$12.16	$12.27
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.17 / $24.17 / $24.38	Facility	TC	$24.17	$24.17	$24.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $39.08 / $83.72	Professional		$26.79	$39.08	$83.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $14.50 / $29.00	Professional	26	$8.66	$14.50	$29.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.94 / $28.18 / $65.70	Professional	TC	$19.94	$28.18	$65.70
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 $27.03 / $35.49 / $47.72	Professional		$27.03	$35.49	$47.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.67 / $11.08 / $14.98	Professional	26	$8.67	$11.08	$14.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.29 / $24.48 / $33.07	Professional	TC	$18.29	$24.48	$33.07