Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $173.78 / $575.44	Facility		$25.12	$173.78	$575.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $11.22 / $11.22	Facility	26	$7.94	$11.22	$11.22
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.98 / $23.99 / $28.18	Facility	TC	$16.98	$23.99	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $36.31 / $74.13	Professional		$20.89	$36.31	$74.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.33 / $23.99	Professional	26	$7.08	$9.33	$23.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $21.38 / $42.66	Professional	TC	$14.13	$21.38	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $33.88	Professional		$16.98	$21.38	$33.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $9.55 / $11.48	Professional	26	$6.17	$9.55	$11.48
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.30 / $26.92	Professional	TC	$18.20	$26.30	$26.92
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 $26.30 / $38.02 / $48.98	Professional		$26.30	$38.02	$48.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.22 / $14.13	Professional	26	$7.76	$11.22	$14.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $26.92 / $34.67	Professional	TC	$18.62	$26.92	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $131.83 / $275.42	Facility		$33.88	$131.83	$275.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $9.33 / $9.55	Facility	26	$9.33	$9.33	$9.55
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $16.22 / $16.22 / $16.60	Facility	TC	$16.22	$16.22	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $69.18	Professional		$20.89	$32.36	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.22 / $22.91	Professional	26	$7.94	$11.22	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $22.91 / $53.70	Professional	TC	$15.85	$22.91	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $169.82 / $223.87	Facility		$17.38	$169.82	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.54 / $42.66	Professional		$20.89	$27.54	$42.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $8.51 / $12.88	Professional	26	$6.61	$8.51	$12.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $18.62 / $30.20	Professional	TC	$14.13	$18.62	$30.20