Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.89 / $86.10 / $428.50	Facility		$29.89	$86.10	$428.50
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 $20.42 / $29.89 / $40.35	Facility	TC	$20.42	$29.89	$40.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $29.24 / $43.21	Professional		$24.58	$29.24	$43.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.87 / $8.31 / $11.84	Professional	26	$6.87	$8.31	$11.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.71 / $20.94 / $31.38	Professional	TC	$17.71	$20.94	$31.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.33 / $24.37 / $58.87	Professional		$21.33	$24.37	$58.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.12 / $6.16 / $8.60	Professional	26	$6.12	$6.16	$8.60
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $27.57 / $27.57 / $27.57	Professional	TC	$27.57	$27.57	$27.57
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 $30.30 / $41.50 / $48.97	Professional		$30.30	$41.50	$48.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.99 / $13.69 / $16.14	Professional	26	$9.99	$13.69	$16.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.30 / $27.81 / $32.82	Professional	TC	$20.30	$27.81	$32.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.83 / $108.05 / $202.38	Facility		$35.83	$108.05	$202.38
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 $19.57 / $19.57 / $19.73	Facility	TC	$19.57	$19.57	$19.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $32.77 / $76.22	Professional		$22.34	$32.77	$76.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $10.95 / $23.00	Professional	26	$6.74	$10.95	$23.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.22 / $23.61 / $57.17	Professional	TC	$17.22	$23.61	$57.17
United Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $29.36 / $38.63	Professional		$23.00	$29.36	$38.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $8.58 / $11.60	Professional	26	$6.77	$8.58	$11.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.92 / $20.38 / $27.73	Professional	TC	$15.92	$20.38	$27.73