Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.77 / $52.21 / $396.91	Facility		$37.77	$52.21	$396.91
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.43 / $14.43 / $14.44	Facility	26	$14.43	$14.43	$14.44
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $37.77 / $306.01 / $972.51	Facility	TC	$37.77	$306.01	$972.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $35.95 / $52.21	Professional		$30.10	$35.95	$52.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $10.36 / $14.44	Professional	26	$8.34	$10.36	$14.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.75 / $25.76 / $37.77	Professional	TC	$21.75	$25.76	$37.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $30.26 / $42.20	Professional		$28.48	$30.26	$42.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $7.87 / $11.72	Professional	26	$7.87	$7.87	$11.72
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 $28.32 / $38.79 / $45.78	Professional		$28.32	$38.79	$45.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $11.52 / $13.59	Professional	26	$8.41	$11.52	$13.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.91 / $27.28 / $32.19	Professional	TC	$19.91	$27.28	$32.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.36 / $160.88 / $276.72	Facility		$95.36	$160.88	$276.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $43.82 / $97.38	Professional		$28.73	$43.82	$97.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $14.61 / $26.33	Professional	26	$8.66	$14.61	$26.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.22 / $31.88 / $72.09	Professional	TC	$23.22	$31.88	$72.09
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $37.11 / $52.58	Professional		$30.32	$37.11	$52.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $11.08 / $15.95	Professional	26	$8.63	$11.08	$15.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.85 / $25.90 / $36.85	Professional	TC	$20.85	$25.90	$36.85