Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $213.80 / $446.68	Facility		$51.29	$213.80	$446.68
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $12.02 / $12.02	Facility	26	$8.91	$12.02	$12.02
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $34.67 / $39.81 / $416.87	Facility	TC	$34.67	$39.81	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $38.02 / $102.33	Professional		$9.12	$38.02	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $17.78 / $41.69	Professional	26	$8.32	$17.78	$41.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.05 / $79.43 / $194.98	Professional	50	$19.05	$79.43	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $43.65 / $87.10	Professional	TC	$23.99	$43.65	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $51.29	Professional		$25.70	$30.90	$51.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.48 / $15.85	Professional	26	$7.08	$11.48	$15.85
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $40.74 / $52.48 / $69.18	Professional	50	$40.74	$52.48	$69.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $25.12 / $42.66	Professional	TC	$19.50	$25.12	$42.66
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 $34.67 / $48.98 / $63.10	Professional		$34.67	$48.98	$63.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $15.14 / $19.50	Professional	26	$10.47	$15.14	$19.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $34.67 / $43.65	Professional	TC	$23.99	$34.67	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $77.62 / $204.17	Facility		$48.98	$77.62	$204.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $10.23 / $10.23	Facility	26	$10.23	$10.23	$10.23
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $22.91 / $22.91 / $23.44	Facility	TC	$22.91	$22.91	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $85.11	Professional		$27.54	$41.69	$85.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.30 / $23.99	Professional	26	$8.32	$12.30	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $33.11 / $74.13	Professional	TC	$21.38	$33.11	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $128.82 / $158.49	Facility		$22.91	$128.82	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $48.98	Professional		$25.70	$36.31	$48.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.33 / $13.80	Professional	26	$7.08	$9.33	$13.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.92 / $37.15	Professional	TC	$19.05	$26.92	$37.15