Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.61 / $177.16 / $272.36	Facility		$72.61	$177.16	$272.36
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.90 / $13.04 / $44.23	Facility	26	$6.90	$13.04	$44.23
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.47 / $48.28 / $671.92	Facility	TC	$21.47	$48.28	$671.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.60 / $65.00	Professional		$15.14	$30.60	$65.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.35 / $8.81 / $22.00	Professional	26	$7.35	$8.81	$22.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $63.62 / $63.62 / $108.00	Professional	50	$63.62	$63.62	$108.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.68 / $23.62 / $32.46	Professional	52	$13.68	$23.62	$32.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $25.29 / $48.28	Professional	TC	$19.46	$25.29	$48.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $24.50 / $32.28	Professional		$23.06	$24.50	$32.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.88 / $7.35 / $14.48	Professional	26	$5.88	$7.35	$14.48
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $43.23 / $48.42 / $99.43	Professional	50	$43.23	$48.42	$99.43
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.47 / $23.27 / $27.37	Professional	TC	$21.47	$23.27	$27.37
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 $22.81 / $67.59 / $103.23	Facility		$22.81	$67.59	$103.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $41.48 / $58.38	Professional		$25.92	$41.48	$58.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $12.84 / $18.38	Professional	26	$6.84	$12.84	$18.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $29.50 / $40.74	Professional	TC	$18.78	$29.50	$40.74
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 Facility Modifier Low / Median / High Price $129.44 / $129.44 / $129.44	Facility		$129.44	$129.44	$129.44
United Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $35.56 / $57.66	Professional		$23.43	$35.56	$57.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.34 / $9.86 / $18.12	Professional	26	$7.34	$9.86	$18.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.47 / $25.81 / $39.90	Professional	TC	$15.47	$25.81	$39.90