Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.34 / $138.75 / $266.68	Facility		$38.34	$138.75	$266.68
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.50 / $8.25 / $18.11	Facility	26	$7.50	$8.25	$18.11
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.73 / $40.26 / $306.19	Facility	TC	$20.73	$40.26	$306.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $31.46 / $67.01	Professional		$25.76	$31.46	$67.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $9.32 / $18.11	Professional	26	$7.51	$9.32	$18.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.73 / $24.79 / $48.91	Professional	TC	$20.73	$24.79	$48.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $30.30 / $69.69	Professional		$24.52	$30.30	$69.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $8.13 / $20.00	Professional	26	$6.42	$8.13	$20.00
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.30 / $22.30 / $22.55	Professional	TC	$22.30	$22.30	$22.55
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 $67.59 / $68.78 / $78.61	Facility		$67.59	$68.78	$78.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $43.42 / $60.58	Professional		$27.09	$43.42	$60.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.43 / $13.87 / $18.62	Professional	26	$7.43	$13.87	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.70 / $30.54 / $41.39	Professional	TC	$19.70	$30.54	$41.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $32.34 / $32.34	Professional		$7.29	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $37.34 / $63.02	Professional		$24.60	$37.34	$63.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $10.60 / $19.91	Professional	26	$7.48	$10.60	$19.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.73 / $26.17 / $46.37	Professional	TC	$16.73	$26.17	$46.37