Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $234.42 / $549.54	Facility		$43.65	$234.42	$549.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $10.96 / $10.96	Facility	26	$7.59	$10.96	$10.96
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $33.11 / $34.67 / $676.08	Facility	TC	$33.11	$34.67	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $35.48 / $91.20	Professional		$8.13	$35.48	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $15.14 / $37.15	Professional	26	$7.08	$15.14	$37.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.78 / $69.18 / $165.96	Professional	50	$17.78	$69.18	$165.96
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $29.51 / $95.50 / $95.50	Professional	52	$29.51	$95.50	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $36.31 / $77.62	Professional	TC	$19.05	$36.31	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.70 / $41.69	Professional		$21.38	$25.70	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $8.91 / $13.18	Professional	26	$5.89	$8.91	$13.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $33.11 / $38.90 / $56.23	Professional	50	$33.11	$38.90	$56.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $19.50 / $34.67	Professional	TC	$17.38	$19.50	$34.67
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 $30.90 / $44.67 / $57.54	Professional		$30.90	$44.67	$57.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $13.80 / $16.22	Professional	26	$9.33	$13.80	$16.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $30.90 / $39.81	Professional	TC	$21.38	$30.90	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $109.65 / $204.17	Facility		$38.90	$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 $20.42 / $20.42 / $20.89	Facility	TC	$20.42	$20.42	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $72.44	Professional		$23.44	$34.67	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.72 / $21.88	Professional	26	$7.59	$10.72	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $28.18 / $61.66	Professional	TC	$18.62	$28.18	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $128.82 / $158.49	Facility		$19.50	$128.82	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.90 / $41.69	Professional		$22.39	$30.90	$41.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.32 / $12.30	Professional	26	$6.31	$8.32	$12.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $22.39 / $30.90	Professional	TC	$15.85	$22.39	$30.90