Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.53 / $126.48 / $404.16	Facility		$44.53	$126.48	$404.16
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.74 / $11.74 / $15.84	Facility	26	$11.74	$11.74	$15.84
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.47 / $32.78 / $44.26	Facility	TC	$29.47	$32.78	$44.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $32.02 / $46.75	Professional		$26.94	$32.02	$46.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.16 / $8.65 / $12.32	Professional	26	$7.16	$8.65	$12.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.78 / $23.36 / $34.42	Professional	TC	$19.78	$23.36	$34.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $30.30 / $36.36	Professional		$23.25	$30.30	$36.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.38 / $9.60 / $14.40	Professional	26	$6.38	$9.60	$14.40
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $54.54 / $54.54 / $54.54	Professional	50	$54.54	$54.54	$54.54
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 $24.13 / $33.04 / $39.00	Professional		$24.13	$33.04	$39.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.70 / $9.18 / $10.83	Professional	26	$6.70	$9.18	$10.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.43 / $23.87 / $28.17	Professional	TC	$17.43	$23.87	$28.17
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 $24.52 / $36.78 / $79.76	Professional		$24.52	$36.78	$79.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $11.92 / $21.38	Professional	26	$7.02	$11.92	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.72 / $26.13 / $63.46	Professional	TC	$19.72	$26.13	$63.46
United Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $32.08 / $43.11	Professional		$24.90	$32.08	$43.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.06 / $9.00 / $13.34	Professional	26	$7.06	$9.00	$13.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.18 / $23.16 / $30.75	Professional	TC	$17.18	$23.16	$30.75