Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $213.80 / $707.95	Facility		$37.15	$213.80	$707.95
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $10.47 / $10.47	Facility	26	$7.24	$10.47	$10.47
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.62 / $26.30 / $30.20	Facility	TC	$18.62	$26.30	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $27.54 / $70.79	Professional		$8.91	$27.54	$70.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $14.45 / $33.88	Professional	26	$6.61	$14.45	$33.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $16.98 / $56.23 / $141.25	Professional	50	$16.98	$56.23	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $25.12 / $45.71	Professional	TC	$15.14	$25.12	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.88 / $30.90	Professional		$17.78	$21.88	$30.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.51 / $10.72	Professional	26	$6.31	$8.51	$10.72
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $20.42 / $29.51	Professional	TC	$14.79	$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 $8.71 / $12.59 / $14.79	Professional	26	$8.71	$12.59	$14.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $26.30 / $33.88	Professional	TC	$18.62	$26.30	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $109.65 / $204.17	Facility		$31.62	$109.65	$204.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $8.71 / $8.71	Facility	26	$8.71	$8.71	$8.71
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 $20.42 / $30.90 / $61.66	Professional		$20.42	$30.90	$61.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.47 / $19.95	Professional	26	$7.24	$10.47	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $23.44 / $51.29	Professional	TC	$16.22	$23.44	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $128.82 / $158.49	Facility		$16.98	$128.82	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.54 / $38.90	Professional		$20.89	$27.54	$38.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.32 / $12.30	Professional	26	$6.31	$8.32	$12.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $19.05 / $26.30	Professional	TC	$14.13	$19.05	$26.30