Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $85.85 / $357.46	Facility		$31.96	$85.85	$357.46
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.58 / $10.81 / $14.59	Facility	26	$8.58	$10.81	$14.59
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.96 / $332.46 / $721.78	Facility	TC	$31.96	$332.46	$721.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $30.41 / $42.77	Professional		$24.84	$30.41	$42.77
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 52 Low / Median / High Price $12.42 / $15.88 / $21.39	Professional	52	$12.42	$15.88	$21.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.26 / $22.76 / $31.96	Professional	TC	$19.26	$22.76	$31.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.58 / $24.55 / $28.88	Professional		$22.58	$24.55	$28.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.86 / $7.35 / $11.73	Professional	26	$5.86	$7.35	$11.73
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $51.39 / $51.39 / $51.39	Professional	50	$51.39	$51.39	$51.39
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.65 / $14.65 / $14.65	Professional	TC	$14.65	$14.65	$14.65
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 $30.66 / $42.00 / $49.56	Professional		$30.66	$42.00	$49.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $12.37 / $14.60	Professional	26	$9.02	$12.37	$14.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.63 / $29.63 / $34.96	Professional	TC	$21.63	$29.63	$34.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.42 / $108.05 / $202.38	Facility		$40.42	$108.05	$202.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.96 / $8.96 / $9.03	Facility	26	$8.96	$8.96	$9.03
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $18.80 / $18.80 / $18.97	Facility	TC	$18.80	$18.80	$18.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $36.97 / $80.78	Professional		$25.33	$36.97	$80.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.89 / $21.00	Professional	26	$6.46	$10.89	$21.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.55 / $25.19 / $61.10	Professional	TC	$17.55	$25.19	$61.10
United Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $30.10 / $39.84	Professional		$23.24	$30.10	$39.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.54 / $8.23 / $11.38	Professional	26	$6.54	$8.23	$11.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.38 / $21.75 / $28.07	Professional	TC	$14.38	$21.75	$28.07