Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $95.50 / $354.81	Facility		$38.02	$95.50	$354.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $14.45 / $14.45	Facility	26	$10.23	$14.45	$14.45
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.92 / $38.02 / $467.74	Facility	TC	$26.92	$38.02	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $104.71	Professional		$30.90	$50.12	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.13 / $29.51	Professional	26	$8.91	$14.13	$29.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $120.23 / $120.23 / $177.83	Professional	50	$120.23	$120.23	$177.83
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.78 / $17.78 / $17.78	Professional	52	$17.78	$17.78	$17.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.11 / $66.07	Professional	TC	$21.88	$33.11	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.90 / $44.67	Professional		$26.92	$30.90	$44.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.77 / $12.88	Professional	26	$7.94	$9.77	$12.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $52.48 / $52.48 / $52.48	Professional	50	$52.48	$52.48	$52.48
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $30.20 / $43.65	Professional	TC	$23.99	$30.20	$43.65
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 $26.92 / $38.90 / $50.12	Professional		$26.92	$38.90	$50.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $11.48 / $14.79	Professional	26	$8.13	$11.48	$14.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $27.54 / $34.67	Professional	TC	$19.05	$27.54	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $173.78 / $275.42	Facility		$95.50	$173.78	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $45.71 / $93.33	Professional		$29.51	$45.71	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $14.45 / $28.18	Professional	26	$10.47	$14.45	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $33.88 / $74.13	Professional	TC	$23.99	$33.88	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $169.82 / $223.87	Facility		$26.92	$169.82	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.02 / $58.88	Professional		$29.51	$38.02	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $10.96 / $16.98	Professional	26	$8.71	$10.96	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $27.54 / $38.02	Professional	TC	$20.89	$27.54	$38.02