Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.14 / $218.35 / $737.00	Facility		$50.14	$218.35	$737.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.32 / $18.19 / $24.55	Facility	26	$12.32	$18.19	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $37.38 / $52.64	Professional		$30.91	$37.38	$52.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.57 / $15.04 / $19.09	Professional	26	$11.57	$15.04	$19.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $22.86 / $33.53	Professional	TC	$17.89	$22.86	$33.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $16.32 / $16.63	Professional	26	$9.86	$16.32	$16.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.02 / $182.82 / $245.96	Facility		$151.02	$182.82	$245.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.33 / $69.04 / $81.47	Professional		$48.33	$69.04	$81.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.02 / $25.74 / $30.37	Professional	26	$18.02	$25.74	$30.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.83 / $42.62 / $50.29	Professional	TC	$29.83	$42.62	$50.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.71 / $39.00 / $3,138.00	Facility		$36.71	$39.00	$3,138.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.95 / $16.95 / $16.95	Facility	26	$16.95	$16.95	$16.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $41.95 / $99.87	Professional		$28.99	$41.95	$99.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.98 / $18.84 / $44.00	Professional	26	$10.98	$18.84	$44.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.00 / $23.06 / $51.97	Professional	TC	$17.00	$23.06	$51.97
United Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $34.11 / $47.77	Professional		$26.61	$34.11	$47.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.10 / $14.22 / $19.91	Professional	26	$11.10	$14.22	$19.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.28 / $19.89 / $26.84	Professional	TC	$14.28	$19.89	$26.84