Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.84 / $400.84 / $804.30	Facility		$400.84	$400.84	$804.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $156.24 / $156.24 / $156.24	Facility	26	$156.24	$156.24	$156.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.58 / $138.66 / $277.14	Professional		$118.58	$138.66	$277.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.88 / $63.62 / $229.98	Professional	26	$53.88	$63.62	$229.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.86 / $80.81 / $145.33	Professional	TC	$61.86	$80.81	$145.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.56 / $152.56 / $195.59	Professional		$152.56	$152.56	$195.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.05 / $32.20 / $77.70	Professional	26	$30.05	$32.20	$77.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $173.56 / $268.57	Professional		$74.05	$173.56	$268.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $85.65 / $267.22	Professional		$65.34	$85.65	$267.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.93 / $37.29 / $109.62	Professional	26	$31.93	$37.29	$109.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.26 / $52.26 / $165.75	Professional	TC	$27.26	$52.26	$165.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $172.15 / $249.65 / $458.74	Professional		$172.15	$249.65	$458.74
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $73.45 / $108.90 / $334.83	Professional	26	$73.45	$108.90	$334.83
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $89.75 / $146.52 / $365.00	Professional	TC	$89.75	$146.52	$365.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $232.97	Professional		$32.34	$32.34	$232.97
United Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $147.18 / $236.67	Professional		$98.12	$147.18	$236.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.78 / $73.00 / $114.93	Professional	26	$45.78	$73.00	$114.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.34 / $78.52 / $122.02	Professional	TC	$52.34	$78.52	$122.02