Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $204.17 / $446.68	Facility		$40.74	$204.17	$446.68
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $10.47 / $10.47	Facility	26	$7.59	$10.47	$10.47
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.89 / $30.20 / $33.88	Facility	TC	$20.89	$30.20	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $28.84 / $67.61	Professional		$8.51	$28.84	$67.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $13.18 / $32.36	Professional	26	$6.92	$13.18	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $25.70 / $47.86	Professional	TC	$16.98	$25.70	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.55 / $36.31	Professional		$19.05	$24.55	$36.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.51 / $11.48	Professional	26	$6.03	$8.51	$11.48
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $16.60 / $27.54	Professional	TC	$16.22	$16.60	$27.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $93.33 / $125.89	Facility		$79.43	$93.33	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $53.70	Professional		$28.84	$41.69	$53.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $14.13 / $17.78	Professional	26	$9.77	$14.13	$17.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $27.54 / $35.48	Professional	TC	$19.05	$27.54	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $109.65 / $204.17	Facility		$38.90	$109.65	$204.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $9.33 / $9.55	Facility	26	$9.33	$9.33	$9.55
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $19.05 / $19.05 / $19.50	Facility	TC	$19.05	$19.05	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.11 / $67.61	Professional		$21.38	$33.11	$67.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.96 / $21.88	Professional	26	$7.76	$10.96	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $26.30 / $57.54	Professional	TC	$17.78	$26.30	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $128.82 / $158.49	Facility		$19.50	$128.82	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $42.66	Professional		$22.39	$30.20	$42.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.32 / $12.30	Professional	26	$6.31	$8.32	$12.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $21.38 / $29.51	Professional	TC	$16.22	$21.38	$29.51