Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $151.36 / $295.12	Facility		$53.70	$151.36	$295.12
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $10.00 / $26.92	Facility	26	$9.33	$10.00	$26.92
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.39 / $54.95 / $331.13	Facility	TC	$22.39	$54.95	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $53.70 / $79.43	Professional		$31.62	$53.70	$79.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.02 / $26.92	Professional	26	$8.91	$12.02	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $34.67 / $52.48	Professional	TC	$22.91	$34.67	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $29.51 / $46.77	Professional		$24.55	$29.51	$46.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $16.98	Professional	26	$7.94	$10.00	$16.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $23.99 / $38.90	Professional	TC	$19.05	$23.99	$38.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $173.78	Facility		$158.49	$158.49	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $64.57 / $79.43	Facility		$30.20	$64.57	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $46.77 / $69.18	Professional		$26.92	$46.77	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $15.49 / $22.39	Professional	26	$8.71	$15.49	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $31.62 / $45.71	Professional	TC	$18.62	$31.62	$45.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $33.11	Professional		$21.38	$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 $26.92 / $38.90 / $64.57	Professional		$26.92	$38.90	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $11.75 / $22.39	Professional	26	$9.12	$11.75	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.92 / $42.66	Professional	TC	$18.20	$26.92	$42.66