Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.52 / $197.49 / $368.05	Facility		$65.52	$197.49	$368.05
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.50 / $10.80 / $26.82	Facility	26	$7.50	$10.80	$26.82
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $14.30 / $32.79 / $361.06	Facility	TC	$14.30	$32.79	$361.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $22.60 / $46.00	Professional		$17.87	$22.60	$46.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.82 / $8.49 / $18.11	Professional	26	$7.82	$8.49	$18.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.69 / $14.36 / $29.99	Professional	TC	$9.69	$14.36	$29.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $22.30 / $51.29	Professional		$17.84	$22.30	$51.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.38 / $8.00 / $20.00	Professional	26	$6.38	$8.00	$20.00
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.30 / $14.30 / $14.30	Professional	TC	$14.30	$14.30	$14.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.76 / $95.76 / $105.34	Facility		$95.76	$95.76	$105.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $68.78 / $78.61	Facility		$17.07	$68.78	$78.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $28.67 / $40.38	Professional		$18.02	$28.67	$40.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.17 / $13.41 / $17.96	Professional	26	$7.17	$13.41	$17.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.97 / $15.67 / $24.50	Professional	TC	$9.97	$15.67	$24.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $32.34 / $32.34	Professional		$7.20	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $129.44 / $129.44 / $129.44	Facility		$129.44	$129.44	$129.44
United Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $27.03 / $51.61	Professional		$15.44	$27.03	$51.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $10.62 / $19.57	Professional	26	$7.49	$10.62	$19.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.49 / $15.00 / $23.24	Professional	TC	$7.49	$15.00	$23.24