Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $218.78 / $691.83	Facility		$51.29	$218.78	$691.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $11.22 / $11.22	Facility	26	$8.13	$11.22	$11.22
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.51 / $39.81 / $208.93	Facility	TC	$29.51	$39.81	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $36.31 / $102.33	Professional		$8.71	$36.31	$102.33
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 $17.78 / $79.43 / $190.55	Professional	50	$17.78	$79.43	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $39.81 / $75.86	Professional	TC	$22.91	$39.81	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $46.77	Professional		$26.30	$32.36	$46.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $9.12 / $12.59	Professional	26	$6.61	$9.12	$12.59
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $50.12 / $63.10 / $81.28	Professional	50	$50.12	$63.10	$81.28
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $25.12 / $46.77	Professional	TC	$20.42	$25.12	$46.77
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 / $16.22	Professional	26	$9.55	$13.80	$16.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $35.48 / $45.71	Professional	TC	$25.12	$35.48	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $109.65 / $204.17	Facility		$47.86	$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 / $23.99	Facility	TC	$23.99	$23.99	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $87.10	Professional		$27.54	$41.69	$87.10
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 $21.88 / $34.67 / $75.86	Professional	TC	$21.88	$34.67	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $128.82 / $158.49	Facility		$20.42	$128.82	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $48.98	Professional		$25.70	$35.48	$48.98
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 $18.62 / $26.92 / $36.31	Professional	TC	$18.62	$26.92	$36.31