Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $138.04 / $331.13	Facility		$69.18	$138.04	$331.13
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.61 / $7.08 / $19.95	Facility	26	$6.61	$7.08	$19.95
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.60 / $39.81 / $331.13	Facility	TC	$16.60	$39.81	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $33.11 / $61.66	Professional		$16.98	$33.11	$61.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.13 / $25.12	Professional	26	$6.03	$8.13	$25.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $141.25 / $144.54	Professional	50	$141.25	$141.25	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.99 / $39.81	Professional	TC	$16.98	$23.99	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $37.15	Professional		$17.78	$22.39	$37.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $7.41 / $12.02	Professional	26	$5.89	$7.41	$12.02
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $17.38 / $24.55	Professional	TC	$14.45	$17.38	$24.55
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 $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $64.57 / $79.43	Facility		$22.39	$64.57	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $35.48 / $51.29	Professional		$19.95	$35.48	$51.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $11.48 / $15.85	Professional	26	$6.17	$11.48	$15.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $24.55 / $36.31	Professional	TC	$14.45	$24.55	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $32.36 / $33.11	Professional		$16.22	$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 $21.38 / $29.51 / $52.48	Professional		$21.38	$29.51	$52.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $8.71 / $16.60	Professional	26	$6.46	$8.71	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $20.42 / $35.48	Professional	TC	$14.45	$20.42	$35.48