Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.59 / $218.08 / $446.16	Facility		$51.59	$218.08	$446.16
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.80 / $12.16 / $16.41	Facility	26	$8.80	$12.16	$16.41
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $39.42 / $97.99 / $442.54	Facility	TC	$39.42	$97.99	$442.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.81 / $36.57 / $54.16	Professional		$30.81	$36.57	$54.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.42 / $9.09 / $12.76	Professional	26	$7.42	$9.09	$12.76
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.77 / $18.94 / $25.80	Professional	52	$14.77	$18.94	$25.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.39 / $27.61 / $41.40	Professional	TC	$23.39	$27.61	$41.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.45 / $41.32 / $46.20	Professional		$26.45	$41.32	$46.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $7.07 / $10.94	Professional	26	$6.61	$7.07	$10.94
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $61.97 / $61.97 / $61.97	Professional	50	$61.97	$61.97	$61.97
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.09 / $18.09 / $21.29	Professional	TC	$18.09	$18.09	$21.29
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 $36.14 / $49.50 / $58.41	Professional		$36.14	$49.50	$58.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.03 / $15.11 / $17.82	Professional	26	$11.03	$15.11	$17.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.10 / $34.39 / $40.58	Professional	TC	$25.10	$34.39	$40.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.31 / $108.05 / $202.38	Facility		$48.31	$108.05	$202.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.15 / $10.15 / $10.24	Facility	26	$10.15	$10.15	$10.24
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.11 / $23.11 / $23.31	Facility	TC	$23.11	$23.11	$23.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $39.79 / $96.61	Professional		$27.64	$39.79	$96.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $12.22 / $24.00	Professional	26	$7.28	$12.22	$24.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.14 / $30.44 / $74.45	Professional	TC	$21.14	$30.44	$74.45
United Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $36.92 / $47.64	Professional		$27.79	$36.92	$47.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $9.26 / $12.57	Professional	26	$7.36	$9.26	$12.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $26.56 / $34.59	Professional	TC	$17.98	$26.56	$34.59