Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $124.74 / $267.93	Facility		$47.49	$124.74	$267.93
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.90 / $8.15 / $16.01	Facility	26	$6.90	$8.15	$16.01
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.82 / $36.69 / $91.26	Facility	TC	$18.82	$36.69	$91.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $32.42 / $60.57	Professional		$24.29	$32.42	$60.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.16 / $8.55 / $16.93	Professional	26	$7.16	$8.55	$16.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $23.48 / $44.56	Professional	TC	$18.82	$23.48	$44.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $27.17 / $62.49	Professional		$19.63	$27.17	$62.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.67 / $7.64 / $17.70	Professional	26	$5.67	$7.64	$17.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.07 / $16.07 / $20.32	Professional	TC	$16.07	$16.07	$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 $24.05 / $67.59 / $103.23	Facility		$24.05	$67.59	$103.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $40.84 / $54.88	Professional		$24.61	$40.84	$54.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.57 / $12.84 / $16.71	Professional	26	$6.57	$12.84	$16.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $28.42 / $38.17	Professional	TC	$17.48	$28.42	$38.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $32.34 / $32.34	Professional		$6.44	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $33.84 / $61.00	Professional		$22.64	$33.84	$61.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.89 / $9.75 / $18.10	Professional	26	$6.89	$9.75	$18.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.75 / $23.59 / $41.08	Professional	TC	$15.75	$23.59	$41.08