Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $178.85 / $573.60	Facility		$35.35	$178.85	$573.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.97 / $11.27 / $15.22	Facility	26	$8.97	$11.27	$15.22
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.79 / $24.74 / $347.15	Facility	TC	$19.79	$24.74	$347.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $26.08 / $37.11	Professional		$21.23	$26.08	$37.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.87 / $8.44 / $11.84	Professional	26	$6.87	$8.44	$11.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.35 / $17.64 / $25.28	Professional	TC	$14.35	$17.64	$25.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.87 / $28.69 / $41.04	Professional		$18.87	$28.69	$41.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.12 / $9.22 / $10.14	Professional	26	$6.12	$9.22	$10.14
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 $27.74 / $38.00 / $44.84	Professional		$27.74	$38.00	$44.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $11.11 / $13.11	Professional	26	$8.11	$11.11	$13.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.63 / $26.89 / $31.73	Professional	TC	$19.63	$26.89	$31.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.77 / $130.72 / $272.39	Facility		$33.77	$130.72	$272.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.38 / $9.38 / $9.46	Facility	26	$9.38	$9.38	$9.46
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $16.32 / $16.32 / $16.47	Facility	TC	$16.32	$16.32	$16.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $30.68 / $66.70	Professional		$20.98	$30.68	$66.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $11.35 / $23.00	Professional	26	$6.74	$11.35	$23.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.86 / $21.97 / $46.18	Professional	TC	$14.86	$21.97	$46.18
United Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $26.29 / $36.71	Professional		$21.65	$26.29	$36.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $8.64 / $11.60	Professional	26	$6.77	$8.64	$11.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $18.18 / $24.61	Professional	TC	$14.13	$18.18	$24.61