Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $199.53 / $562.34	Facility		$46.77	$199.53	$562.34
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $11.22 / $11.22	Facility	26	$7.94	$11.22	$11.22
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.20 / $35.48 / $363.08	Facility	TC	$30.20	$35.48	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $33.88 / $85.11	Professional		$8.51	$33.88	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $16.22 / $38.90	Professional	26	$7.24	$16.22	$38.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.50 / $67.61 / $151.36	Professional	50	$19.50	$67.61	$151.36
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $29.51 / $29.51 / $81.28	Professional	52	$29.51	$29.51	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $38.90 / $69.18	Professional	TC	$20.42	$38.90	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $27.54 / $41.69	Professional		$22.91	$27.54	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $9.55 / $12.30	Professional	26	$6.31	$9.55	$12.30
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $37.15 / $45.71 / $67.61	Professional	50	$37.15	$45.71	$67.61
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $20.89 / $38.02	Professional	TC	$16.98	$20.89	$38.02
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 $31.62 / $44.67 / $57.54	Professional		$31.62	$44.67	$57.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $13.80 / $16.22	Professional	26	$9.55	$13.80	$16.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $31.62 / $39.81	Professional	TC	$21.88	$31.62	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $109.65 / $204.17	Facility		$43.65	$109.65	$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 $20.89 / $20.89 / $20.89	Facility	TC	$20.89	$20.89	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $37.15 / $75.86	Professional		$24.55	$37.15	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.96 / $22.39	Professional	26	$7.59	$10.96	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $29.51 / $64.57	Professional	TC	$19.05	$29.51	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $128.82 / $158.49	Facility		$20.42	$128.82	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $43.65	Professional		$22.91	$32.36	$43.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $8.51 / $12.88	Professional	26	$6.61	$8.51	$12.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $23.44 / $32.36	Professional	TC	$16.60	$23.44	$32.36