Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $218.78 / $602.56	Facility		$40.74	$218.78	$602.56
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $11.22 / $11.22	Facility	26	$7.94	$11.22	$11.22
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.91 / $30.20 / $263.03	Facility	TC	$22.91	$30.20	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $33.11 / $85.11	Professional		$13.80	$33.11	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $16.60 / $37.15	Professional	26	$7.08	$16.60	$37.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $30.20 / $123.03 / $165.96	Professional	50	$30.20	$123.03	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $30.20 / $61.66	Professional	TC	$16.98	$30.20	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $37.15	Professional		$19.95	$25.12	$37.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $9.55 / $13.80	Professional	26	$6.31	$9.55	$13.80
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $50.12 / $50.12 / $50.12	Professional	50	$50.12	$50.12	$50.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $21.38 / $32.36	Professional	TC	$16.22	$21.38	$32.36
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 $34.67 / $48.98 / $63.10	Professional		$34.67	$48.98	$63.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $13.80 / $17.38	Professional	26	$9.55	$13.80	$17.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $35.48 / $45.71	Professional	TC	$24.55	$35.48	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $109.65 / $204.17	Facility		$50.12	$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 $23.99 / $23.99 / $24.55	Facility	TC	$23.99	$23.99	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $36.31 / $69.18	Professional		$22.91	$36.31	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.96 / $22.39	Professional	26	$7.59	$10.96	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.84 / $58.88	Professional	TC	$19.05	$28.84	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $128.82 / $158.49	Facility		$21.38	$128.82	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $45.71	Professional		$23.44	$29.51	$45.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $8.51 / $12.88	Professional	26	$6.61	$8.51	$12.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $21.38 / $33.88	Professional	TC	$16.22	$21.38	$33.88