Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.31 / $252.72 / $484.68	Facility		$38.31	$252.72	$484.68
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.74 / $11.74 / $15.84	Facility	26	$11.74	$11.74	$15.84
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.57 / $232.47 / $377.70	Facility	TC	$26.57	$232.47	$377.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $28.03 / $40.22	Professional		$22.81	$28.03	$40.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.16 / $8.80 / $12.32	Professional	26	$7.16	$8.80	$12.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.64 / $19.22 / $27.89	Professional	TC	$15.64	$19.22	$27.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $22.44 / $34.92	Professional		$20.49	$22.44	$34.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.38 / $9.60 / $10.57	Professional	26	$6.38	$9.60	$10.57
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.21 / $15.21 / $18.43	Professional	TC	$15.21	$15.21	$18.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $92.49 / $124.43	Facility		$76.20	$92.49	$124.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $43.00 / $50.74	Professional		$31.39	$43.00	$50.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $19.95 / $23.54	Professional	26	$14.56	$19.95	$23.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.82 / $23.05 / $27.20	Professional	TC	$16.82	$23.05	$27.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.45 / $133.21 / $228.67	Facility		$60.45	$133.21	$228.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $29.60 / $49.88	Professional		$20.70	$29.60	$49.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $11.39 / $17.78	Professional	26	$7.02	$11.39	$17.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.70 / $20.79 / $34.59	Professional	TC	$15.70	$20.79	$34.59
United Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $26.90 / $37.21	Professional		$21.13	$26.90	$37.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.04 / $9.00 / $12.88	Professional	26	$7.04	$9.00	$12.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.87 / $18.19 / $24.25	Professional	TC	$13.87	$18.19	$24.25