Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $186.21 / $371.54	Facility		$26.30	$186.21	$371.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $10.72 / $10.72	Facility	26	$7.59	$10.72	$10.72
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.62 / $26.30 / $229.09	Facility	TC	$18.62	$26.30	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $28.84 / $74.13	Professional		$11.48	$28.84	$74.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $15.49 / $34.67	Professional	26	$7.08	$15.49	$34.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $33.11 / $114.82 / $134.90	Professional	50	$33.11	$114.82	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $25.70 / $51.29	Professional	TC	$15.14	$25.70	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $30.90	Professional		$18.20	$21.88	$30.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $8.32 / $11.22	Professional	26	$5.89	$8.32	$11.22
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $20.42 / $29.51	Professional	TC	$14.45	$20.42	$29.51
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 $27.54 / $38.90 / $50.12	Professional		$27.54	$38.90	$50.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.02 / $14.13	Professional	26	$8.32	$12.02	$14.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.92 / $34.67	Professional	TC	$19.05	$26.92	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $109.65 / $204.17	Facility		$35.48	$109.65	$204.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $8.13 / $8.32	Facility	26	$8.13	$8.13	$8.32
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $18.20 / $18.20 / $18.20	Facility	TC	$18.20	$18.20	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $31.62 / $61.66	Professional		$20.89	$31.62	$61.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.23 / $20.89	Professional	26	$6.76	$10.23	$20.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $23.99 / $52.48	Professional	TC	$16.60	$23.99	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $128.82 / $158.49	Facility		$18.20	$128.82	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $27.54 / $38.02	Professional		$20.42	$27.54	$38.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.32 / $11.75	Professional	26	$6.31	$8.32	$11.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $19.05 / $26.30	Professional	TC	$14.13	$19.05	$26.30