Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.96 / $185.38 / $375.76	Facility		$36.96	$185.38	$375.76
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.81 / $10.81 / $14.59	Facility	26	$10.81	$10.81	$14.59
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.26 / $35.29 / $232.47	Facility	TC	$23.26	$35.29	$232.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $27.32 / $38.79	Professional		$22.23	$27.32	$38.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.58 / $7.96 / $11.35	Professional	26	$6.58	$7.96	$11.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.64 / $19.22 / $27.45	Professional	TC	$15.64	$19.22	$27.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $29.95 / $33.57	Professional		$17.54	$29.95	$33.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.86 / $8.82 / $9.71	Professional	26	$5.86	$8.82	$9.71
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.21 / $15.21 / $15.21	Professional	TC	$15.21	$15.21	$15.21
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 $28.47 / $39.00 / $46.02	Professional		$28.47	$39.00	$46.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.72 / $11.95 / $14.10	Professional	26	$8.72	$11.95	$14.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.75 / $27.05 / $31.92	Professional	TC	$19.75	$27.05	$31.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.17 / $108.05 / $202.38	Facility		$35.17	$108.05	$202.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.19 / $8.19 / $8.27	Facility	26	$8.19	$8.19	$8.27
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $18.10 / $18.10 / $18.26	Facility	TC	$18.10	$18.10	$18.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $30.06 / $69.79	Professional		$21.07	$30.06	$69.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.11 / $20.00	Professional	26	$6.46	$10.11	$20.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.13 / $23.14 / $50.10	Professional	TC	$16.13	$23.14	$50.10
United Facility/Professional Facility Modifier Low / Median / High Price $5.49 / $19.60 / $159.62	Facility		$5.49	$19.60	$159.62
United Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $27.43 / $35.54	Professional		$21.08	$27.43	$35.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $8.23 / $10.39	Professional	26	$6.42	$8.23	$10.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.31 / $17.89 / $25.06	Professional	TC	$14.31	$17.89	$25.06