Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.94 / $117.00 / $638.22	Facility		$34.94	$117.00	$638.22
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.20 / $7.91 / $21.00	Facility	26	$7.20	$7.91	$21.00
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.55 / $36.69 / $46.34	Facility	TC	$18.55	$36.69	$46.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $33.03 / $61.93	Professional		$25.77	$33.03	$61.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.21 / $8.14 / $17.37	Professional	26	$7.21	$8.14	$17.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $23.87 / $44.56	Professional	TC	$18.55	$23.87	$44.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $25.72 / $63.87	Professional		$20.05	$25.72	$63.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.14 / $7.68 / $14.53	Professional	26	$6.14	$7.68	$14.53
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.32 / $20.32 / $20.32	Professional	TC	$20.32	$20.32	$20.32
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 $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.49 / $67.59 / $103.23	Facility		$24.49	$67.59	$103.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $39.90 / $54.28	Professional		$24.89	$39.90	$54.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.13 / $12.97 / $17.23	Professional	26	$7.13	$12.97	$17.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.62 / $27.08 / $37.57	Professional	TC	$16.62	$27.08	$37.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $32.34 / $32.34	Professional		$6.99	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $33.54 / $60.39	Professional		$22.40	$33.54	$60.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $9.93 / $18.04	Professional	26	$6.90	$9.93	$18.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.50 / $23.52 / $43.52	Professional	TC	$15.50	$23.52	$43.52