Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $281.84 / $501.19	Facility		$43.65	$281.84	$501.19
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $8.91 / $12.88	Facility	26	$7.08	$8.91	$12.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.50 / $28.84 / $79.43	Facility	TC	$19.50	$28.84	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $43.65 / $87.10	Professional		$25.70	$43.65	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.75 / $26.92	Professional	26	$7.08	$11.75	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.70 / $50.12	Professional	TC	$19.05	$25.70	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.99 / $50.12	Professional		$20.42	$23.99	$50.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.32 / $13.49	Professional	26	$6.31	$8.32	$13.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $21.88 / $30.90	Professional	TC	$17.38	$21.88	$30.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $131.83 / $263.03	Facility		$57.54	$131.83	$263.03
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $48.98 / $64.57 / $426.58	Facility	TC	$48.98	$64.57	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $34.67 / $58.88	Professional		$18.62	$34.67	$58.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.00 / $20.89	Professional	26	$8.13	$10.00	$20.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $23.99 / $42.66	Professional	TC	$21.88	$23.99	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $177.83 / $446.68	Facility		$23.44	$177.83	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $54.95	Professional		$27.54	$37.15	$54.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $16.98	Professional	26	$7.94	$10.96	$16.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.70 / $38.90	Professional	TC	$19.05	$25.70	$38.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $16.22 / $16.22	Professional	26	$16.22	$16.22	$16.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $40.74 / $72.44	Facility		$27.54	$40.74	$72.44
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 $81.28 / $363.08 / $562.34	Facility		$81.28	$363.08	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $58.88	Professional		$25.12	$34.67	$58.88
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 $17.38 / $24.55 / $42.66	Professional	TC	$17.38	$24.55	$42.66