Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.53 / $185.30 / $544.00	Facility		$51.53	$185.30	$544.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.97 / $11.27 / $15.22	Facility	26	$8.97	$11.27	$15.22
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.73 / $40.26 / $421.48	Facility	TC	$27.73	$40.26	$421.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $36.52 / $54.10	Professional		$30.78	$36.52	$54.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.87 / $8.44 / $11.84	Professional	26	$6.87	$8.44	$11.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.98 / $28.22 / $42.27	Professional	TC	$22.98	$28.22	$42.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $37.15 / $46.89	Professional		$26.86	$37.15	$46.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.12 / $8.46 / $10.14	Professional	26	$6.12	$8.46	$10.14
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $62.87 / $62.87 / $62.87	Professional	50	$62.87	$62.87	$62.87
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.86 / $22.19 / $24.29	Professional	TC	$18.86	$22.19	$24.29
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 $36.14 / $49.50 / $58.41	Professional		$36.14	$49.50	$58.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.99 / $13.69 / $16.14	Professional	26	$9.99	$13.69	$16.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.14 / $35.81 / $42.26	Professional	TC	$26.14	$35.81	$42.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.31 / $108.05 / $202.38	Facility		$48.31	$108.05	$202.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.38 / $9.38 / $9.46	Facility	26	$9.38	$9.38	$9.46
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.76 / $23.76 / $23.97	Facility	TC	$23.76	$23.76	$23.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $40.06 / $86.83	Professional		$27.82	$40.06	$86.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $11.04 / $23.00	Professional	26	$6.74	$11.04	$23.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.51 / $31.65 / $76.81	Professional	TC	$22.51	$31.65	$76.81
United Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $35.52 / $47.21	Professional		$25.94	$35.52	$47.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $8.58 / $12.10	Professional	26	$6.77	$8.58	$12.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.71 / $26.88 / $33.89	Professional	TC	$19.71	$26.88	$33.89