Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $104.71 / $309.03	Facility		$35.48	$104.71	$309.03
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.92 / $6.92 / $12.02	Facility	26	$6.92	$6.92	$12.02
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.05 / $44.67 / $660.69	Facility	TC	$19.05	$44.67	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $63.10	Professional		$22.91	$34.67	$63.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $9.55 / $32.36	Professional	26	$6.76	$9.55	$32.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $112.20 / $112.20	Professional	50	$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $25.70 / $25.70 / $25.70	Professional	52	$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.70 / $44.67	Professional	TC	$19.05	$25.70	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $42.66	Professional		$19.05	$25.12	$42.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $7.59 / $17.78	Professional	26	$5.75	$7.59	$17.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $42.66 / $42.66 / $42.66	Professional	50	$42.66	$42.66	$42.66
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $22.91 / $36.31	Professional	TC	$16.22	$22.91	$36.31
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 $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $64.57 / $79.43	Facility		$21.88	$64.57	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $37.15 / $54.95	Professional		$22.39	$37.15	$54.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $11.48 / $15.85	Professional	26	$6.17	$11.48	$15.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $26.92 / $38.90	Professional	TC	$16.60	$26.92	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $33.11	Professional		$18.20	$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 $21.38 / $31.62 / $50.12	Professional		$21.38	$31.62	$50.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $8.71 / $16.60	Professional	26	$6.61	$8.71	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $22.91 / $35.48	Professional	TC	$14.79	$22.91	$35.48