Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $302.00 / $549.54	Facility		$47.86	$302.00	$549.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $28.18 / $79.43	Facility	26	$26.30	$28.18	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $208.93	Professional		$46.77	$64.57	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $33.88 / $81.28	Professional	26	$26.30	$33.88	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $28.84 / $131.83	Professional	TC	$21.38	$28.84	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $89.13	Professional		$37.15	$47.86	$89.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $28.84 / $64.57	Professional	26	$22.39	$28.84	$64.57
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $28.18 / $28.18	Professional	TC	$28.18	$28.18	$28.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $83.18 / $302.00	Professional		$41.69	$83.18	$302.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $43.65 / $66.07	Professional	26	$21.88	$43.65	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $38.90 / $251.19	Professional	TC	$19.05	$38.90	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $33.11	Professional		$25.12	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $223.87	Professional		$47.86	$70.79	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $32.36 / $60.26	Professional	26	$26.92	$32.36	$60.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $29.51 / $181.97	Professional	TC	$20.89	$29.51	$181.97