Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $81.59 / $256.68	Facility		$37.36	$81.59	$256.68
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.90 / $7.57 / $16.63	Facility	26	$6.90	$7.57	$16.63
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.19 / $39.24 / $49.57	Facility	TC	$20.19	$39.24	$49.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.08 / $34.10 / $64.30	Professional		$27.08	$34.10	$64.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $8.51 / $16.63	Professional	26	$6.90	$8.51	$16.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.00 / $98.00 / $98.00	Professional	50	$98.00	$98.00	$98.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.55 / $23.40 / $32.15	Professional	52	$13.55	$23.40	$32.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $22.87 / $38.59	Professional	TC	$20.07	$22.87	$38.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.58 / $22.84 / $26.49	Professional		$22.58	$22.84	$26.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.88 / $7.49 / $18.38	Professional	26	$5.88	$7.49	$18.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.44 / $21.44 / $21.44	Professional	TC	$21.44	$21.44	$21.44
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 $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.24 / $67.59 / $103.23	Facility		$23.24	$67.59	$103.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $41.09 / $59.49	Professional		$25.37	$41.09	$59.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $12.30 / $17.67	Professional	26	$6.84	$12.30	$17.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.51 / $29.24 / $41.82	Professional	TC	$17.51	$29.24	$41.82
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 Professional Modifier Low / Median / High Price $23.28 / $35.33 / $65.27	Professional		$23.28	$35.33	$65.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.89 / $9.52 / $16.64	Professional	26	$6.89	$9.52	$16.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.71 / $24.71 / $39.90	Professional	TC	$16.71	$24.71	$39.90