Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.15 / $165.75 / $381.15	Facility		$41.15	$165.75	$381.15
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.97 / $11.27 / $15.22	Facility	26	$8.97	$11.27	$15.22
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.55 / $30.63 / $332.46	Facility	TC	$26.55	$30.63	$332.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $30.82 / $43.21	Professional		$24.58	$30.82	$43.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.87 / $8.55 / $11.84	Professional	26	$6.87	$8.55	$11.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.71 / $23.51 / $31.38	Professional	TC	$17.71	$23.51	$31.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.33 / $23.87 / $33.32	Professional		$21.33	$23.87	$33.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.12 / $7.65 / $12.24	Professional	26	$6.12	$7.65	$12.24
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $49.99 / $49.99 / $49.99	Professional	50	$49.99	$49.99	$49.99
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.34 / $16.34 / $16.34	Professional	TC	$16.34	$16.34	$16.34
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 $35.77 / $49.00 / $57.82	Professional		$35.77	$49.00	$57.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.99 / $13.69 / $16.14	Professional	26	$9.99	$13.69	$16.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.78 / $35.31 / $41.67	Professional	TC	$25.78	$35.31	$41.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.74 / $108.05 / $202.38	Facility		$41.74	$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 $24.17 / $24.17 / $24.38	Facility	TC	$24.17	$24.17	$24.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $38.51 / $77.70	Professional		$25.40	$38.51	$77.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $10.95 / $23.00	Professional	26	$6.74	$10.95	$23.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.66 / $27.23 / $57.17	Professional	TC	$18.66	$27.23	$57.17
United Facility/Professional Professional Modifier Low / Median / High Price $23.55 / $29.20 / $42.72	Professional		$23.55	$29.20	$42.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $8.64 / $11.61	Professional	26	$6.77	$8.64	$11.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.50 / $20.81 / $31.74	Professional	TC	$16.50	$20.81	$31.74