Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.42 / $103.80 / $256.68	Facility		$35.42	$103.80	$256.68
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.90 / $7.29 / $16.01	Facility	26	$6.90	$7.29	$16.01
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.10 / $35.42 / $46.99	Facility	TC	$19.10	$35.42	$46.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $31.31 / $61.00	Professional		$25.55	$31.31	$61.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $7.84 / $16.01	Professional	26	$7.03	$7.84	$16.01
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.01 / $22.27 / $30.60	Professional	52	$13.01	$22.27	$30.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $23.10 / $45.18	Professional	TC	$18.53	$23.10	$45.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $24.85 / $62.49	Professional		$19.10	$24.85	$62.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.66 / $7.20 / $17.70	Professional	26	$5.66	$7.20	$17.70
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 $42.00 / $42.00 / $42.00	Professional		$42.00	$42.00	$42.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.95 / $67.59 / $165.23	Facility		$21.95	$67.59	$165.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $39.32 / $55.59	Professional		$24.86	$39.32	$55.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.57 / $12.30 / $16.30	Professional	26	$6.57	$12.30	$16.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $28.40 / $38.79	Professional	TC	$17.89	$28.40	$38.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $32.34 / $32.34	Professional		$6.44	$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 $21.26 / $32.11 / $53.87	Professional		$21.26	$32.11	$53.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $9.75 / $18.27	Professional	26	$6.61	$9.75	$18.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.77 / $23.46 / $38.43	Professional	TC	$14.77	$23.46	$38.43