Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $263.03 / $436.52	Facility		$38.02	$263.03	$436.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $11.75 / $11.75	Facility	26	$8.32	$11.75	$11.75
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.88 / $26.30 / $338.84	Facility	TC	$21.88	$26.30	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.90 / $75.86	Professional		$21.88	$38.90	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $34.67	Professional	26	$7.08	$10.96	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $24.55 / $47.86	Professional	TC	$15.14	$24.55	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.39 / $34.67	Professional		$18.62	$22.39	$34.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.32 / $12.59	Professional	26	$6.31	$8.32	$12.59
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $16.98 / $24.55	Professional	TC	$14.45	$16.98	$24.55
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 $30.20 / $42.66 / $54.95	Professional		$30.20	$42.66	$54.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $19.95 / $25.70	Professional	26	$14.13	$19.95	$25.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $22.91 / $29.51	Professional	TC	$16.22	$22.91	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $141.25 / $229.09	Facility		$52.48	$141.25	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $31.62 / $61.66	Professional		$21.38	$31.62	$61.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $11.48 / $22.39	Professional	26	$8.32	$11.48	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $22.91 / $44.67	Professional	TC	$16.22	$22.91	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $128.82 / $158.49	Facility		$17.38	$128.82	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.54 / $40.74	Professional		$20.89	$27.54	$40.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.91 / $13.49	Professional	26	$7.08	$8.91	$13.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $18.62 / $26.30	Professional	TC	$13.80	$18.62	$26.30