Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.12 / $152.88 / $389.92	Facility		$74.12	$152.88	$389.92
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $13.28 / $24.00	Facility	26	$9.25	$13.28	$24.00
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.47 / $55.08 / $321.26	Facility	TC	$30.47	$55.08	$321.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $44.07 / $85.06	Professional		$22.01	$44.07	$85.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.35 / $10.47 / $22.30	Professional	26	$9.35	$10.47	$22.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $32.56 / $63.92	Professional	TC	$27.55	$32.56	$63.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $36.97 / $92.94	Professional		$32.33	$36.97	$92.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $9.84 / $24.60	Professional	26	$7.88	$9.84	$24.60
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.00 / $30.56 / $30.92	Professional	TC	$22.00	$30.56	$30.92
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 $63.00 / $63.00 / $63.00	Professional		$63.00	$63.00	$63.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $68.78 / $78.61	Facility		$67.59	$68.78	$78.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $57.12 / $77.23	Professional		$36.78	$57.12	$77.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.17 / $16.50 / $22.18	Professional	26	$9.17	$16.50	$22.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.90 / $40.92 / $54.38	Professional	TC	$25.90	$40.92	$54.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $32.34 / $36.36	Professional		$8.97	$32.34	$36.36
United Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $48.17 / $86.94	Professional		$31.32	$48.17	$86.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $13.09 / $24.09	Professional	26	$8.84	$13.09	$24.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.97 / $35.08 / $60.91	Professional	TC	$21.97	$35.08	$60.91