Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $194.98 / $354.81	Facility		$41.69	$194.98	$354.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $7.94 / $36.31	Facility	26	$7.59	$7.94	$36.31
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $14.13 / $93.33 / $363.08	Facility	TC	$14.13	$93.33	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $45.71	Professional		$19.95	$26.92	$45.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $8.32 / $26.92	Professional	26	$7.59	$8.32	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $18.20 / $26.92	Professional	TC	$12.88	$18.20	$26.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $38.90	Professional		$16.22	$19.50	$38.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $8.13 / $13.49	Professional	26	$6.46	$8.13	$13.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $13.80 / $20.89	Professional	TC	$11.75	$13.80	$20.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $104.71	Facility		$95.50	$95.50	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $69.18 / $79.43	Facility		$16.98	$69.18	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.18 / $38.02	Professional		$17.78	$28.18	$38.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $12.30 / $18.20	Professional	26	$6.31	$12.30	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $15.49 / $23.99	Professional	TC	$9.77	$15.49	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $32.36 / $33.11	Professional		$12.88	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $158.49 / $173.78	Facility		$63.10	$158.49	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $24.55 / $39.81	Professional		$15.85	$24.55	$39.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $10.00 / $18.62	Professional	26	$7.41	$10.00	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.13 / $15.14 / $22.39	Professional	TC	$8.13	$15.14	$22.39