Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $162.18 / $338.84	Facility		$34.67	$162.18	$338.84
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.24 / $12.88	Facility	26	$7.08	$7.24	$12.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.62 / $46.77 / $316.23	Facility	TC	$18.62	$46.77	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $44.67 / $87.10	Professional		$20.89	$44.67	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.91 / $35.48	Professional	26	$7.08	$8.91	$35.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $20.42 / $20.42 / $30.20	Professional	50	$20.42	$20.42	$30.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.84 / $95.50	Professional	TC	$19.05	$28.84	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $38.90	Professional		$20.89	$25.12	$38.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $7.94 / $15.49	Professional	26	$6.31	$7.94	$15.49
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $30.20 / $40.74 / $100.00	Professional	50	$30.20	$40.74	$100.00
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $21.38 / $34.67	Professional	TC	$14.45	$21.38	$34.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $104.71	Facility		$95.50	$95.50	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $64.57 / $79.43	Facility		$30.20	$64.57	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $41.69 / $63.10	Professional		$22.91	$41.69	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $12.30 / $17.38	Professional	26	$6.76	$12.30	$17.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $30.20 / $46.77	Professional	TC	$18.20	$30.20	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $33.11	Professional		$18.20	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $158.49 / $173.78	Facility		$63.10	$158.49	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $31.62 / $58.88	Professional		$24.55	$31.62	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.12 / $18.20	Professional	26	$7.08	$9.12	$18.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $40.74	Professional	TC	$16.98	$22.91	$40.74