Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.28 / $118.15 / $446.16	Facility		$40.28	$118.15	$446.16
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.39 / $10.39 / $14.02	Facility	26	$10.39	$10.39	$14.02
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.50 / $29.89 / $210.74	Facility	TC	$24.50	$29.89	$210.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $29.41 / $42.29	Professional		$24.55	$29.41	$42.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.58 / $8.09 / $10.90	Professional	26	$6.58	$8.09	$10.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.97 / $21.75 / $31.38	Professional	TC	$17.97	$21.75	$31.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.47 / $32.60	Professional		$20.89	$27.47	$32.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.64 / $8.50 / $9.34	Professional	26	$5.64	$8.50	$9.34
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.89 / $13.89 / $13.89	Professional	TC	$13.89	$13.89	$13.89
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 $10.21 / $13.99 / $16.51	Professional	26	$10.21	$13.99	$16.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $27.51 / $32.46	Professional	TC	$20.07	$27.51	$32.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $108.05 / $202.38	Facility		$37.79	$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 $19.22 / $19.22 / $19.39	Facility	TC	$19.22	$19.22	$19.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $31.40 / $76.84	Professional		$22.10	$31.40	$76.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.21 / $11.04 / $23.00	Professional	26	$6.21	$11.04	$23.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.95 / $23.47 / $57.17	Professional	TC	$16.95	$23.47	$57.17
United Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $30.17 / $38.65	Professional		$23.18	$30.17	$38.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.50 / $8.23 / $11.60	Professional	26	$6.50	$8.23	$11.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.18 / $20.46 / $27.72	Professional	TC	$16.18	$20.46	$27.72