Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $323.59 / $645.65	Facility		$63.10	$323.59	$645.65
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $8.71 / $12.59	Facility	26	$6.76	$8.71	$12.59
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.50 / $30.20 / $380.19	Facility	TC	$19.50	$30.20	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $33.11 / $74.13	Professional		$13.49	$33.11	$74.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $12.88 / $44.67	Professional	26	$6.76	$12.88	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $25.12 / $50.12	Professional	TC	$18.62	$25.12	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $50.12	Professional		$19.95	$25.12	$50.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $7.59 / $11.48	Professional	26	$6.17	$7.59	$11.48
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $21.38 / $30.20	Professional	TC	$15.49	$21.38	$30.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $131.83 / $263.03	Facility		$61.66	$131.83	$263.03
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $44.67 / $60.26 / $426.58	Facility	TC	$44.67	$60.26	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $61.66	Professional		$30.20	$37.15	$61.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $14.13 / $25.12	Professional	26	$8.13	$14.13	$25.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $23.44 / $34.67	Professional	TC	$18.20	$23.44	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $169.82 / $446.68	Facility		$23.44	$169.82	$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 $7.76 / $10.72 / $16.60	Professional	26	$7.76	$10.72	$16.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.30 / $39.81	Professional	TC	$19.05	$26.30	$39.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $16.98 / $16.98	Professional	26	$16.98	$16.98	$16.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $39.81 / $70.79	Facility		$26.92	$39.81	$70.79
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 $7.76 / $9.77 / $16.60	Professional	26	$7.76	$9.77	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $24.55 / $42.66	Professional	TC	$16.98	$24.55	$42.66