Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.12 / $139.05 / $545.34	Facility		$45.12	$139.05	$545.34
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 $36.10 / $279.58 / $455.99	Facility	TC	$36.10	$279.58	$455.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $36.65 / $53.07	Professional		$30.16	$36.65	$53.07
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 $21.58 / $26.62 / $37.90	Professional	TC	$21.58	$26.62	$37.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $40.54 / $58.12	Professional		$27.35	$40.54	$58.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $9.84 / $13.02	Professional	26	$7.87	$9.84	$13.02
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.55 / $20.71 / $32.89	Professional	TC	$16.55	$20.71	$32.89
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 $40.88 / $56.00 / $66.08	Professional		$40.88	$56.00	$66.08
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 $27.70 / $37.95 / $44.78	Professional	TC	$27.70	$37.95	$44.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.71 / $130.72 / $272.39	Facility		$43.71	$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 $25.94 / $25.94 / $26.17	Facility	TC	$25.94	$25.94	$26.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $41.14 / $92.81	Professional		$27.01	$41.14	$92.81
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 $20.76 / $28.69 / $68.95	Professional	TC	$20.76	$28.69	$68.95
United Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $35.92 / $50.08	Professional		$28.47	$35.92	$50.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.67 / $11.08 / $15.38	Professional	26	$8.67	$11.08	$15.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.23 / $24.48 / $35.04	Professional	TC	$19.23	$24.48	$35.04