Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $227.25 / $602.00	Facility		$43.70	$227.25	$602.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.16 / $12.16 / $28.52	Facility	26	$12.16	$12.16	$28.52
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.53 / $221.27 / $499.97	Facility	TC	$31.53	$221.27	$499.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $31.11 / $45.88	Professional		$26.16	$31.11	$45.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.42 / $9.11 / $12.76	Professional	26	$7.42	$9.11	$12.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.73 / $22.64 / $33.11	Professional	TC	$18.73	$22.64	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $31.30 / $39.50	Professional		$23.58	$31.30	$39.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $7.28 / $10.94	Professional	26	$6.61	$7.28	$10.94
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $30.40 / $53.05 / $93.68	Professional	50	$30.40	$53.05	$93.68
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.65 / $18.32 / $29.09	Professional	TC	$14.65	$18.32	$29.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.40 / $92.49 / $124.43	Facility		$76.40	$92.49	$124.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.03 / $42.50 / $50.15	Professional		$31.03	$42.50	$50.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.03 / $15.11 / $17.82	Professional	26	$11.03	$15.11	$17.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.98 / $27.39 / $32.32	Professional	TC	$19.98	$27.39	$32.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.49 / $108.05 / $202.38	Facility		$36.49	$108.05	$202.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.15 / $10.15 / $10.24	Facility	26	$10.15	$10.15	$10.24
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $19.22 / $19.22 / $19.39	Facility	TC	$19.22	$19.22	$19.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $33.94 / $73.11	Professional		$23.07	$33.94	$73.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $12.22 / $24.00	Professional	26	$7.28	$12.22	$24.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.55 / $24.49 / $58.14	Professional	TC	$17.55	$24.49	$58.14
United Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $30.79 / $40.27	Professional		$23.61	$30.79	$40.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $9.25 / $12.57	Professional	26	$7.36	$9.25	$12.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $21.36 / $28.58	Professional	TC	$16.03	$21.36	$28.58