Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.43 / $153.99 / $267.93	Facility		$69.43	$153.99	$267.93
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.62 / $7.93 / $16.01	Facility	26	$6.62	$7.93	$16.01
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.67 / $32.59 / $43.00	Facility	TC	$16.67	$32.59	$43.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $30.73 / $55.60	Professional		$21.84	$30.73	$55.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.97 / $7.84 / $16.67	Professional	26	$6.97	$7.84	$16.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $22.70 / $39.60	Professional	TC	$16.67	$22.70	$39.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $22.78 / $57.41	Professional		$19.97	$22.78	$57.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.66 / $7.08 / $17.70	Professional	26	$5.66	$7.08	$17.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.31 / $14.31 / $18.09	Professional	TC	$14.31	$14.31	$18.09
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 $42.00 / $42.00 / $42.00	Professional		$42.00	$42.00	$42.00
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 $22.58 / $36.38 / $51.75	Professional		$22.58	$36.38	$51.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.57 / $12.30 / $16.30	Professional	26	$6.57	$12.30	$16.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.60 / $24.48 / $36.36	Professional	TC	$15.60	$24.48	$36.36
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 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 $21.35 / $30.73 / $55.54	Professional		$21.35	$30.73	$55.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.49 / $9.74 / $16.64	Professional	26	$6.49	$9.74	$16.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.73 / $20.99 / $39.17	Professional	TC	$14.73	$20.99	$39.17