Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.93 / $98.50 / $158.02	Facility		$89.93	$98.50	$158.02
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.01 / $62.01 / $62.01	Facility	26	$62.01	$62.01	$62.01
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $95.99 / $95.99 / $95.99	Facility	TC	$95.99	$95.99	$95.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $60.07 / $123.46	Professional		$49.04	$60.07	$123.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.78 / $30.42 / $64.08	Professional	26	$22.78	$30.42	$64.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.52 / $34.95 / $68.83	Professional	TC	$28.52	$34.95	$68.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $30.78 / $57.96	Professional		$30.73	$30.78	$57.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.94 / $15.08 / $30.77	Professional	26	$11.94	$15.08	$30.77
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.88 / $34.88 / $34.88	Professional	TC	$34.88	$34.88	$34.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $68.52 / $106.03	Professional		$29.39	$68.52	$106.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $58.02 / $120.20	Professional		$31.00	$58.02	$120.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.67 / $30.84 / $49.56	Professional	26	$12.67	$30.84	$49.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.22 / $27.17 / $67.69	Professional	TC	$18.22	$27.17	$67.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.88 / $107.46 / $228.85	Professional		$68.88	$107.46	$228.85
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $29.15 / $44.36 / $218.83	Professional	26	$29.15	$44.36	$218.83
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $41.84 / $64.38 / $212.23	Professional	TC	$41.84	$64.38	$212.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $36.89 / $65.98	Professional		$25.66	$36.89	$65.98
United Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $74.13 / $116.57	Professional		$42.76	$74.13	$116.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $31.49 / $61.08	Professional	26	$17.82	$31.49	$61.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.94 / $43.22 / $69.44	Professional	TC	$24.94	$43.22	$69.44