Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $109.65 / $398.11	Facility		$37.15	$109.65	$398.11
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.24 / $20.89	Facility	26	$7.08	$7.24	$20.89
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $15.14 / $37.15 / $407.38	Facility	TC	$15.14	$37.15	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $32.36 / $64.57	Professional		$21.88	$32.36	$64.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $7.94 / $20.89	Professional	26	$7.08	$7.94	$20.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $38.02	Professional	TC	$15.14	$20.89	$38.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.39 / $38.90	Professional		$17.38	$22.39	$38.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $8.51 / $13.49	Professional	26	$6.17	$8.51	$13.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $16.98 / $28.18	Professional	TC	$15.49	$16.98	$28.18
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 $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $64.57 / $125.89	Facility		$20.42	$64.57	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $35.48 / $54.95	Professional		$21.38	$35.48	$54.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $12.30 / $17.78	Professional	26	$6.76	$12.30	$17.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $23.44 / $38.02	Professional	TC	$14.79	$23.44	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $32.36 / $33.11	Professional		$14.45	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $208.93 / $223.87	Facility		$77.62	$208.93	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.84 / $53.70	Professional		$21.38	$28.84	$53.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.12 / $18.20	Professional	26	$7.24	$9.12	$18.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $19.95 / $35.48	Professional	TC	$14.45	$19.95	$35.48