Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.34 / $183.90 / $455.08	Facility		$39.34	$183.90	$455.08
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.57 / $12.78 / $28.07	Facility	26	$11.57	$12.78	$28.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $35.54 / $75.84	Professional		$30.91	$35.54	$75.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.41 / $17.35 / $29.05	Professional	26	$12.41	$17.35	$29.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $21.76 / $47.78	Professional	TC	$17.89	$21.76	$47.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.44 / $26.44 / $76.02	Professional		$26.44	$26.44	$76.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.92 / $13.18 / $28.54	Professional	26	$9.92	$13.18	$28.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Professional		$53.00	$53.00	$53.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.77 / $44.73 / $65.67	Professional		$28.77	$44.73	$65.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.62 / $19.60 / $29.33	Professional	26	$11.62	$19.60	$29.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.70 / $24.59 / $36.36	Professional	TC	$15.70	$24.59	$36.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $32.34 / $32.34	Professional		$18.57	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $38.45 / $63.36	Professional		$27.86	$38.45	$63.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $16.28 / $30.62	Professional	26	$12.10	$16.28	$30.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.00 / $21.44 / $36.64	Professional	TC	$15.00	$21.44	$36.64