Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.85 / $154.69 / $446.16	Facility		$39.85	$154.69	$446.16
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.97 / $10.39 / $14.02	Facility	26	$8.97	$10.39	$14.02
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.14 / $29.46 / $39.78	Facility	TC	$20.14	$29.46	$39.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $29.54 / $41.85	Professional		$24.04	$29.54	$41.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.33 / $7.77 / $10.90	Professional	26	$6.33	$7.77	$10.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.12 / $21.76 / $30.94	Professional	TC	$17.12	$21.76	$30.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $23.63 / $36.03	Professional		$21.26	$23.63	$36.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.64 / $8.42 / $12.74	Professional	26	$5.64	$8.42	$12.74
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.12 / $17.12 / $17.12	Professional	TC	$17.12	$17.12	$17.12
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 $28.47 / $39.00 / $46.02	Professional		$28.47	$39.00	$46.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.85 / $12.13 / $14.31	Professional	26	$8.85	$12.13	$14.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.62 / $26.87 / $31.71	Professional	TC	$19.62	$26.87	$31.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $108.05 / $202.38	Facility		$35.97	$108.05	$202.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.38 / $9.38 / $9.46	Facility	26	$9.38	$9.38	$9.46
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $17.39 / $17.39 / $17.54	Facility	TC	$17.39	$17.39	$17.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $31.03 / $72.75	Professional		$21.65	$31.03	$72.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.21 / $10.69 / $23.00	Professional	26	$6.21	$10.69	$23.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.88 / $22.42 / $56.39	Professional	TC	$15.88	$22.42	$56.39
United Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $28.66 / $37.45	Professional		$22.01	$28.66	$37.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.27 / $7.95 / $11.44	Professional	26	$6.27	$7.95	$11.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.37 / $20.55 / $27.29	Professional	TC	$15.37	$20.55	$27.29