Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.84 / $151.50 / $403.50	Facility		$43.84	$151.50	$403.50
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $11.36 / $22.30	Facility	26	$9.25	$11.36	$22.30
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.35 / $43.84 / $321.26	Facility	TC	$22.35	$43.84	$321.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.74 / $75.56	Professional		$31.62	$43.74	$75.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $11.14 / $22.50	Professional	26	$9.84	$11.14	$22.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.39 / $31.24 / $50.00	Professional	TC	$23.39	$31.24	$50.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $33.79 / $77.72	Professional		$26.60	$33.79	$77.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $9.84 / $16.93	Professional	26	$7.88	$9.84	$16.93
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $24.22 / $26.82 / $30.54	Professional	TC	$24.22	$26.82	$30.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.59 / $158.59 / $174.45	Facility		$158.59	$158.59	$174.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Professional		$51.00	$51.00	$51.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.09 / $67.59 / $165.23	Facility		$30.09	$67.59	$165.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $47.09 / $74.04	Professional		$29.66	$47.09	$74.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.17 / $16.63 / $22.50	Professional	26	$9.17	$16.63	$22.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.81 / $32.27 / $51.54	Professional	TC	$20.81	$32.27	$51.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $32.34 / $32.34	Professional		$8.97	$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 $29.66 / $41.32 / $71.80	Professional		$29.66	$41.32	$71.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.15 / $12.46 / $22.01	Professional	26	$9.15	$12.46	$22.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.26 / $26.61 / $49.79	Professional	TC	$18.26	$26.61	$49.79