Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.56 / $162.96 / $317.37	Facility		$48.56	$162.96	$317.37
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.91 / $13.62 / $17.37	Facility	26	$7.91	$13.62	$17.37
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.29 / $36.69 / $317.37	Facility	TC	$20.29	$36.69	$317.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $34.40 / $61.93	Professional		$23.60	$34.40	$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 / $29.29 / $44.56	Professional	TC	$18.55	$29.29	$44.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $22.21 / $63.87	Professional		$21.94	$22.21	$63.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.14 / $7.65 / $19.20	Professional	26	$6.14	$7.65	$19.20
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $95.81 / $95.81 / $95.81	Professional	50	$95.81	$95.81	$95.81
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 $47.00 / $47.00 / $47.00	Professional		$47.00	$47.00	$47.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.09 / $67.59 / $103.23	Facility		$30.09	$67.59	$103.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $44.12 / $63.39	Professional		$26.77	$44.12	$63.39
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 $18.48 / $31.39 / $45.68	Professional	TC	$18.48	$31.39	$45.68
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 $25.20 / $33.52 / $58.44	Professional		$25.20	$33.52	$58.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.04 / $9.92 / $18.04	Professional	26	$7.04	$9.92	$18.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.26 / $23.18 / $42.82	Professional	TC	$18.26	$23.18	$42.82