Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $57.75 / $265.70	Facility		$57.75	$57.75	$265.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.68 / $34.68 / $100.15	Facility	26	$34.68	$34.68	$100.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.16 / $163.27 / $252.91	Professional		$63.16	$163.27	$252.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.32 / $66.84 / $101.56	Professional	26	$36.32	$66.84	$101.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.84 / $66.62 / $150.03	Professional	TC	$26.84	$66.62	$150.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $28.42 / $59.83	Professional		$28.42	$28.42	$59.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $71.12 / $71.12 / $71.12	Professional	26	$71.12	$71.12	$71.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $11.53 / $11.53 / $11.53	Professional	TC	$11.53	$11.53	$11.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $38.00 / $38.00	Facility		$38.00	$38.00	$38.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.00 / $345.00 / $345.00	Professional		$345.00	$345.00	$345.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.44 / $27.44 / $196.91	Facility		$27.44	$27.44	$196.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.77 / $156.55 / $444.96	Professional		$62.77	$156.55	$444.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.29 / $93.02 / $181.28	Professional	26	$36.29	$93.02	$181.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.47 / $63.53 / $263.35	Professional	TC	$26.47	$63.53	$263.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $32.34 / $50.68	Professional		$30.12	$32.34	$50.68
United Facility/Professional Facility Modifier Low / Median / High Price $216.00 / $529.00 / $1,888.00	Facility		$216.00	$529.00	$1,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.12 / $169.94 / $361.22	Professional		$62.12	$169.94	$361.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.53 / $82.58 / $155.53	Professional	26	$36.53	$82.58	$155.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.74 / $69.78 / $208.77	Professional	TC	$25.74	$69.78	$208.77