Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $162.18 / $602.56	Facility		$39.81	$162.18	$602.56
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $10.47 / $10.47	Facility	26	$7.24	$10.47	$10.47
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.42 / $29.51 / $204.17	Facility	TC	$20.42	$29.51	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $29.51 / $77.62	Professional		$7.76	$29.51	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $13.80 / $37.15	Professional	26	$6.92	$13.80	$37.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $16.60 / $64.57 / $151.36	Professional	50	$16.60	$64.57	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $28.84 / $53.70	Professional	TC	$16.60	$28.84	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.44 / $36.31	Professional		$19.50	$23.44	$36.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $8.51 / $10.96	Professional	26	$5.62	$8.51	$10.96
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $50.12 / $50.12 / $50.12	Professional	50	$50.12	$50.12	$50.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $19.05 / $32.36	Professional	TC	$15.85	$19.05	$32.36
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 $27.54 / $38.90 / $50.12	Professional		$27.54	$38.90	$50.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.02 / $14.45	Professional	26	$8.51	$12.02	$14.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $26.92 / $34.67	Professional	TC	$18.62	$26.92	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $77.62 / $204.17	Facility		$37.15	$77.62	$204.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $9.33 / $9.55	Facility	26	$9.33	$9.33	$9.55
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $17.38 / $17.38 / $17.38	Facility	TC	$17.38	$17.38	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $31.62 / $66.07	Professional		$20.42	$31.62	$66.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.96 / $20.89	Professional	26	$7.59	$10.96	$20.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $24.55 / $57.54	Professional	TC	$16.98	$24.55	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $128.82 / $158.49	Facility		$16.98	$128.82	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $39.81	Professional		$21.88	$28.84	$39.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $7.94 / $12.30	Professional	26	$6.17	$7.94	$12.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $20.89 / $28.18	Professional	TC	$14.79	$20.89	$28.18