Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $125.89 / $309.03	Facility		$39.81	$125.89	$309.03
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $7.94 / $20.89	Facility	26	$7.59	$7.94	$20.89
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.89 / $48.98 / $309.03	Facility	TC	$20.89	$48.98	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $38.02 / $70.79	Professional		$8.51	$38.02	$70.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.51 / $30.20	Professional	26	$7.08	$8.51	$30.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $169.82 / $177.83	Professional	50	$169.82	$169.82	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.18 / $43.65	Professional	TC	$20.89	$28.18	$43.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $50.12	Professional		$23.99	$28.18	$50.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $8.91 / $16.60	Professional	26	$6.46	$8.91	$16.60
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $41.69 / $41.69 / $109.65	Professional	50	$41.69	$41.69	$109.65
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $24.55 / $33.88	Professional	TC	$18.62	$24.55	$33.88
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 $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $69.18 / $79.43	Facility		$67.61	$69.18	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $42.66 / $60.26	Professional		$24.55	$42.66	$60.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $12.59 / $18.62	Professional	26	$6.31	$12.59	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $30.20 / $41.69	Professional	TC	$18.20	$30.20	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $33.11	Professional		$19.95	$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 $24.55 / $34.67 / $63.10	Professional		$24.55	$34.67	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.00 / $19.05	Professional	26	$7.59	$10.00	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $25.70 / $42.66	Professional	TC	$16.98	$25.70	$42.66