Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.25 / $197.60 / $514.00	Facility		$59.25	$197.60	$514.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.43 / $14.43 / $19.48	Facility	26	$14.43	$14.43	$19.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $44.82 / $214.66 / $377.70	Facility	TC	$44.82	$214.66	$377.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.59 / $43.74 / $62.22	Professional		$35.59	$43.74	$62.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $10.91 / $15.66	Professional	26	$8.84	$10.91	$15.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.75 / $32.56 / $47.06	Professional	TC	$26.75	$32.56	$47.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $35.40 / $54.25	Professional		$31.86	$35.40	$54.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $10.63 / $13.02	Professional	26	$7.87	$10.63	$13.02
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.15 / $24.88 / $42.00	Professional	TC	$21.15	$24.88	$42.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $92.49 / $124.43	Facility		$76.20	$92.49	$124.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $43.64 / $51.50	Professional		$31.86	$43.64	$51.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.74 / $10.60 / $12.51	Professional	26	$7.74	$10.60	$12.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.12 / $33.04 / $38.99	Professional	TC	$24.12	$33.04	$38.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.45 / $115.92 / $228.67	Facility		$60.45	$115.92	$228.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $48.54 / $111.78	Professional		$36.60	$48.54	$111.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $14.19 / $26.33	Professional	26	$8.66	$14.19	$26.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.06 / $34.60 / $85.44	Professional	TC	$26.06	$34.60	$85.44
United Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $41.50 / $56.01	Professional		$31.78	$41.50	$56.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $11.08 / $15.88	Professional	26	$8.66	$11.08	$15.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $30.85 / $41.14	Professional	TC	$22.57	$30.85	$41.14