Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $346.74 / $741.31	Facility		$79.43	$346.74	$741.31
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $9.55 / $14.45	Facility	26	$7.08	$9.55	$14.45
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.12 / $61.66 / $389.05	Facility	TC	$25.12	$61.66	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $40.74 / $134.90	Professional		$11.22	$40.74	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $16.60 / $47.86	Professional	26	$7.94	$16.60	$47.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.48 / $77.62 / $234.42	Professional	50	$35.48	$77.62	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $43.65 / $95.50	Professional	TC	$25.12	$43.65	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $61.66	Professional		$25.12	$32.36	$61.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $9.12 / $15.14	Professional	26	$6.76	$9.12	$15.14
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $41.69 / $50.12 / $87.10	Professional	50	$41.69	$50.12	$87.10
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $29.51 / $47.86	Professional	TC	$20.89	$29.51	$47.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $134.90 / $251.19	Facility		$61.66	$134.90	$251.19
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $50.12 / $66.07 / $426.58	Facility	TC	$50.12	$66.07	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $42.66 / $70.79	Professional		$38.02	$42.66	$70.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $16.60 / $28.84	Professional	26	$9.33	$16.60	$28.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $30.90 / $45.71	Professional	TC	$15.85	$30.90	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $229.09 / $446.68	Facility		$30.90	$229.09	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.65 / $67.61	Professional		$31.62	$43.65	$67.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $11.75 / $18.62	Professional	26	$8.71	$11.75	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $31.62 / $51.29	Professional	TC	$21.88	$31.62	$51.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $19.50 / $19.50	Professional	26	$19.50	$19.50	$19.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $48.98 / $87.10	Facility		$33.11	$48.98	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $363.08 / $562.34	Facility		$81.28	$363.08	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $72.44	Professional		$28.84	$40.74	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.72 / $18.62	Professional	26	$8.51	$10.72	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $30.20 / $53.70	Professional	TC	$20.42	$30.20	$53.70