Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.39 / $182.40 / $426.58	Facility		$46.39	$182.40	$426.58
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $10.15 / $22.30	Facility	26	$9.25	$10.15	$22.30
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.71 / $46.39 / $86.51	Facility	TC	$23.71	$46.39	$86.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $38.28 / $73.00	Professional		$32.96	$38.28	$73.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $11.45 / $22.30	Professional	26	$9.26	$11.45	$22.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.71 / $30.22 / $56.35	Professional	TC	$23.71	$30.22	$56.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $80.89 / $80.89	Professional		$25.41	$80.89	$80.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $10.00 / $24.60	Professional	26	$7.87	$10.00	$24.60
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $52.76 / $52.76 / $52.76	Professional	50	$52.76	$52.76	$52.76
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.37 / $28.37 / $28.37	Professional	TC	$28.37	$28.37	$28.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.59 / $158.59 / $174.45	Facility		$158.59	$158.59	$174.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.57 / $97.20 / $124.54	Facility		$92.57	$97.20	$124.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $52.97 / $70.48	Professional		$32.95	$52.97	$70.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.17 / $16.69 / $22.38	Professional	26	$9.17	$16.69	$22.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.65 / $36.33 / $48.29	Professional	TC	$23.65	$36.33	$48.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $32.34 / $32.34	Professional		$8.97	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $43.19 / $79.88	Professional		$30.01	$43.19	$79.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.24 / $13.09 / $24.55	Professional	26	$9.24	$13.09	$24.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $29.95 / $54.85	Professional	TC	$20.39	$29.95	$54.85