Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.96 / $172.58 / $471.36	Facility		$36.96	$172.58	$471.36
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.23 / $10.39 / $14.02	Facility	26	$8.23	$10.39	$14.02
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.18 / $26.57 / $332.46	Facility	TC	$18.18	$26.57	$332.46
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 $6.33 / $7.77 / $10.90	Professional	26	$6.33	$7.77	$10.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.90 / $19.54 / $27.89	Professional	TC	$15.90	$19.54	$27.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $21.44 / $29.95	Professional		$19.19	$21.44	$29.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.64 / $8.50 / $11.28	Professional	26	$5.64	$8.50	$11.28
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 $9.17 / $12.56 / $14.82	Professional	26	$9.17	$12.56	$14.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.30 / $26.44 / $31.20	Professional	TC	$19.30	$26.44	$31.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.89 / $108.05 / $202.38	Facility		$31.89	$108.05	$202.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.61 / $8.61 / $8.69	Facility	26	$8.61	$8.61	$8.69
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 $20.62 / $30.15 / $69.79	Professional		$20.62	$30.15	$69.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.20 / $10.51 / $20.00	Professional	26	$6.20	$10.51	$20.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.33 / $21.97 / $50.89	Professional	TC	$15.33	$21.97	$50.89
United Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $159.62 / $161.80	Facility		$72.81	$159.62	$161.80
United Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $26.89 / $35.76	Professional		$20.97	$26.89	$35.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.50 / $8.27 / $10.64	Professional	26	$6.50	$8.27	$10.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.40 / $18.57 / $24.90	Professional	TC	$14.40	$18.57	$24.90