Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $140.10 / $588.33	Facility		$35.15	$140.10	$588.33
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.39 / $10.29 / $20.20	Facility	26	$8.39	$10.29	$20.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.75 / $35.15 / $446.33	Facility	TC	$17.75	$35.15	$446.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $46.40 / $73.31	Professional		$28.24	$46.40	$73.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.92 / $10.88 / $20.96	Professional	26	$8.92	$10.88	$20.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.75 / $26.19 / $42.70	Professional	TC	$17.75	$26.19	$42.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $28.19 / $64.84	Professional		$22.20	$28.19	$64.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.14 / $9.07 / $17.47	Professional	26	$7.14	$9.07	$17.47
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.41 / $19.48 / $24.56	Professional	TC	$15.41	$19.48	$24.56
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 $53.00 / $53.00 / $53.00	Professional		$53.00	$53.00	$53.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $92.57 / $165.23	Facility		$26.64	$92.57	$165.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $48.08 / $63.59	Professional		$26.99	$48.08	$63.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $16.63 / $22.18	Professional	26	$8.30	$16.63	$22.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.68 / $31.25 / $41.82	Professional	TC	$18.68	$31.25	$41.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $32.34 / $32.34	Professional		$8.13	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $34.46 / $63.65	Professional		$26.10	$34.46	$63.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $11.84 / $22.01	Professional	26	$8.84	$11.84	$22.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.26 / $22.42 / $41.42	Professional	TC	$17.26	$22.42	$41.42