Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $263.03 / $676.08	Facility		$40.74	$263.03	$676.08
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $9.12 / $12.88	Facility	26	$7.08	$9.12	$12.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $15.85 / $25.70 / $338.84	Facility	TC	$15.85	$25.70	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $40.74 / $93.33	Professional		$21.88	$40.74	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $36.31	Professional	26	$7.08	$10.96	$36.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $21.38 / $42.66	Professional	TC	$15.14	$21.38	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $44.67	Professional		$18.20	$23.99	$44.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $7.76 / $13.18	Professional	26	$6.31	$7.76	$13.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $17.78 / $24.55	Professional	TC	$14.45	$17.78	$24.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $120.23 / $245.47	Facility		$48.98	$120.23	$245.47
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $44.67 / $58.88 / $426.58	Facility	TC	$44.67	$58.88	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $54.95	Professional		$27.54	$34.67	$54.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $15.49 / $25.12	Professional	26	$8.51	$15.49	$25.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $19.50 / $30.20	Professional	TC	$15.85	$19.50	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $162.18 / $537.03	Facility		$19.05	$162.18	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $35.48 / $51.29	Professional		$25.12	$35.48	$51.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.22 / $17.38	Professional	26	$7.94	$11.22	$17.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $23.44 / $34.67	Professional	TC	$16.60	$23.44	$34.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $18.20 / $18.20	Professional	26	$18.20	$18.20	$18.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $38.02 / $67.61	Facility		$23.44	$38.02	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $436.52 / $660.69	Facility		$109.65	$436.52	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $54.95	Professional		$22.39	$32.36	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.77 / $16.98	Professional	26	$7.94	$9.77	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $21.88 / $37.15	Professional	TC	$14.45	$21.88	$37.15