Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.61 / $161.60 / $246.54	Facility		$55.61	$161.60	$246.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.90 / $8.47 / $16.63	Facility	26	$6.90	$8.47	$16.63
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.61 / $32.09 / $349.61	Facility	TC	$17.61	$32.09	$349.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $32.02 / $55.61	Professional		$20.88	$32.02	$55.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $7.68 / $19.00	Professional	26	$6.74	$7.68	$19.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $103.54 / $103.54 / $103.54	Professional	50	$103.54	$103.54	$103.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.39 / $22.41 / $38.96	Professional	TC	$16.39	$22.41	$38.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $21.64 / $43.22	Professional		$17.54	$21.64	$43.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.88 / $7.35 / $18.38	Professional	26	$5.88	$7.35	$18.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.80 / $18.71 / $18.71	Professional	TC	$17.80	$18.71	$18.71
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 $41.00 / $41.00 / $41.00	Professional		$41.00	$41.00	$41.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.38 / $67.59 / $103.23	Facility		$22.38	$67.59	$103.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $37.47 / $53.48	Professional		$22.69	$37.47	$53.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $11.65 / $15.59	Professional	26	$6.84	$11.65	$15.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.00 / $26.44 / $38.17	Professional	TC	$16.00	$26.44	$38.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $32.34 / $32.34	Professional		$6.70	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $129.44 / $129.44 / $129.44	Facility		$129.44	$129.44	$129.44
United Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $30.36 / $53.27	Professional		$20.94	$30.36	$53.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.32 / $9.27 / $15.85	Professional	26	$6.32	$9.27	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.52 / $20.62 / $37.11	Professional	TC	$14.52	$20.62	$37.11