Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.71 / $77.09 / $182.45	Facility		$35.71	$77.09	$182.45
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.23 / $9.98 / $13.47	Facility	26	$8.23	$9.98	$13.47
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.61 / $25.73 / $34.74	Facility	TC	$17.61	$25.73	$34.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $26.68 / $37.50	Professional		$21.71	$26.68	$37.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.07 / $7.46 / $10.47	Professional	26	$6.07	$7.46	$10.47
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.46 / $13.34 / $17.86	Professional	52	$10.46	$13.34	$17.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.64 / $19.22 / $27.02	Professional	TC	$15.64	$19.22	$27.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $28.97 / $41.45	Professional		$18.55	$28.97	$41.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.41 / $6.80 / $10.19	Professional	26	$5.41	$6.80	$10.19
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $24.87 / $36.00 / $36.00	Professional	50	$24.87	$36.00	$36.00
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $11.98 / $14.09 / $23.77	Professional	TC	$11.98	$14.09	$23.77
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 $27.74 / $38.00 / $44.84	Professional		$27.74	$38.00	$44.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.17 / $12.56 / $14.82	Professional	26	$9.17	$12.56	$14.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.57 / $25.44 / $30.02	Professional	TC	$18.57	$25.44	$30.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $108.05 / $202.38	Facility		$33.86	$108.05	$202.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.61 / $8.61 / $8.69	Facility	26	$8.61	$8.61	$8.69
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $17.04 / $17.04 / $17.19	Facility	TC	$17.04	$17.04	$17.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $29.35 / $59.87	Professional		$20.38	$29.35	$59.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.95 / $9.76 / $20.00	Professional	26	$5.95	$9.76	$20.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.39 / $22.26 / $49.32	Professional	TC	$15.39	$22.26	$49.32
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $26.04 / $34.32	Professional		$20.07	$26.04	$34.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.96 / $7.63 / $10.64	Professional	26	$5.96	$7.63	$10.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.15 / $18.19 / $24.25	Professional	TC	$14.15	$18.19	$24.25