Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.14 / $211.54 / $489.96	Facility		$46.14	$211.54	$489.96
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 $34.85 / $232.47 / $464.94	Facility	TC	$34.85	$232.47	$464.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $32.92 / $48.44	Professional		$27.68	$32.92	$48.44
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 $20.81 / $24.62 / $36.60	Professional	TC	$20.81	$24.62	$36.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $33.61 / $42.41	Professional		$25.30	$33.61	$42.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.12 / $9.22 / $11.51	Professional	26	$6.12	$9.22	$11.51
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $40.82 / $56.93 / $56.93	Professional	50	$40.82	$56.93	$56.93
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.55 / $16.55 / $19.48	Professional	TC	$16.55	$16.55	$19.48
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 $32.85 / $45.00 / $53.10	Professional		$32.85	$45.00	$53.10
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 $22.86 / $31.31 / $36.95	Professional	TC	$22.86	$31.31	$36.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $108.05 / $202.38	Facility		$42.40	$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 $20.93 / $20.93 / $21.11	Facility	TC	$20.93	$20.93	$21.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $36.00 / $84.89	Professional		$25.02	$36.00	$84.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $10.95 / $23.00	Professional	26	$6.74	$10.95	$23.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.11 / $27.50 / $65.70	Professional	TC	$19.11	$27.50	$65.70
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 $24.76 / $31.99 / $42.44	Professional		$24.76	$31.99	$42.44
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 $17.32 / $23.65 / $31.62	Professional	TC	$17.32	$23.65	$31.62