Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $218.78 / $407.38	Facility		$44.67	$218.78	$407.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $14.45 / $14.45	Facility	26	$9.77	$14.45	$14.45
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.70 / $35.48 / $380.19	Facility	TC	$25.70	$35.48	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $100.00	Professional		$30.20	$50.12	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $16.60 / $30.90	Professional	26	$8.91	$16.60	$30.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $34.67 / $63.10	Professional	TC	$20.89	$34.67	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $29.51 / $48.98	Professional		$25.12	$29.51	$48.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.75 / $14.79	Professional	26	$7.94	$11.75	$14.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $21.88 / $38.90	Professional	TC	$17.38	$21.88	$38.90
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 $37.15 / $52.48 / $67.61	Professional		$37.15	$52.48	$67.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $18.20 / $22.91	Professional	26	$12.59	$18.20	$22.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $34.67 / $44.67	Professional	TC	$23.99	$34.67	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $109.65 / $204.17	Facility		$40.74	$109.65	$204.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $12.30	Facility	26	$12.02	$12.02	$12.30
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.99 / $23.99 / $24.55	Facility	TC	$23.99	$23.99	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $39.81 / $83.18	Professional		$26.30	$39.81	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $14.45 / $28.84	Professional	26	$9.77	$14.45	$28.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $30.90 / $67.61	Professional	TC	$21.38	$30.90	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $128.82 / $158.49	Facility		$20.42	$128.82	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $36.31 / $48.98	Professional		$26.30	$36.31	$48.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.96 / $16.60	Professional	26	$8.51	$10.96	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $24.55 / $33.88	Professional	TC	$17.38	$24.55	$33.88