Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.04 / $188.69 / $540.79	Facility		$32.04	$188.69	$540.79
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.62 / $13.08 / $17.67	Facility	26	$11.62	$13.08	$17.67
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.57 / $28.64 / $38.65	Facility	TC	$19.57	$28.64	$38.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $30.73 / $43.81	Professional		$24.94	$30.73	$43.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.00 / $9.83 / $13.74	Professional	26	$8.00	$9.83	$13.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.93 / $21.01 / $30.07	Professional	TC	$16.93	$21.01	$30.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $24.21 / $29.91	Professional		$21.58	$24.21	$29.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.12 / $8.90 / $11.79	Professional	26	$7.12	$8.90	$11.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.14 / $17.14 / $26.43	Professional	TC	$17.14	$17.14	$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 $35.40 / $48.50 / $57.23	Professional		$35.40	$48.50	$57.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.96 / $17.75 / $20.95	Professional	26	$12.96	$17.75	$20.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.45 / $30.75 / $36.29	Professional	TC	$22.45	$30.75	$36.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.74 / $130.72 / $272.39	Facility		$41.74	$130.72	$272.39
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 $21.34 / $21.34 / $21.53	Facility	TC	$21.34	$21.34	$21.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $36.42 / $78.67	Professional		$24.73	$36.42	$78.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.84 / $13.83 / $29.00	Professional	26	$7.84	$13.83	$29.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.94 / $26.13 / $54.82	Professional	TC	$16.94	$26.13	$54.82
United Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $30.51 / $44.72	Professional		$24.09	$30.51	$44.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.85 / $10.03 / $14.98	Professional	26	$7.85	$10.03	$14.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $20.56 / $29.96	Professional	TC	$16.67	$20.56	$29.96