Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $295.12 / $588.84	Facility		$60.26	$295.12	$588.84
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.41 / $8.91 / $13.49	Facility	26	$7.41	$8.91	$13.49
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.98 / $26.30 / $302.00	Facility	TC	$16.98	$26.30	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $43.65 / $100.00	Professional		$23.99	$43.65	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $14.45 / $46.77	Professional	26	$7.08	$14.45	$46.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $22.91 / $53.70	Professional	TC	$16.60	$22.91	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.39 / $33.11	Professional		$18.62	$22.39	$33.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $8.13 / $12.88	Professional	26	$6.61	$8.13	$12.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $19.50 / $26.30	Professional	TC	$15.49	$19.50	$26.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $138.04 / $251.19	Facility		$70.79	$138.04	$251.19
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $83.18 / $83.18 / $109.65	Facility	TC	$83.18	$83.18	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $61.66	Professional		$28.18	$36.31	$61.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $17.38 / $25.70	Professional	26	$8.71	$17.38	$25.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $20.42 / $30.20	Professional	TC	$16.60	$20.42	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $165.96 / $446.68	Facility		$20.89	$165.96	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $51.29	Professional		$26.30	$33.88	$51.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.96 / $18.20	Professional	26	$8.32	$10.96	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $21.88 / $34.67	Professional	TC	$16.98	$21.88	$34.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $33.11 / $63.10	Facility		$24.55	$33.11	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $363.08 / $562.34	Facility		$81.28	$363.08	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $31.62 / $54.95	Professional		$24.55	$31.62	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.72 / $17.78	Professional	26	$8.51	$10.72	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $20.89 / $38.02	Professional	TC	$15.85	$20.89	$38.02