Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $194.98	Facility		$46.77	$46.77	$194.98
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $12.59 / $12.59	Facility	26	$12.59	$12.59	$12.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $47.86	Professional		$10.96	$15.49	$47.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $6.61 / $16.22	Professional	26	$3.02	$6.61	$16.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $10.23 / $26.30	Professional	TC	$7.94	$10.23	$26.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $1.95 / $2.04 / $4.79	Professional	26	$1.95	$2.04	$4.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $15.49 / $26.30	Professional		$5.13	$15.49	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $29.51	Facility		$24.55	$24.55	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.30 / $28.18	Professional		$7.59	$12.30	$28.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.09 / $2.63 / $7.59	Professional	26	$2.09	$2.63	$7.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.50 / $7.76 / $20.89	Professional	TC	$5.50	$7.76	$20.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $27.54 / $83.18	Professional		$18.20	$27.54	$83.18
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $4.68 / $7.41 / $54.95	Professional	26	$4.68	$7.41	$54.95
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $19.50 / $83.18	Professional	TC	$12.30	$19.50	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $17.38 / $30.20	Professional		$10.23	$17.38	$30.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.09 / $4.79 / $7.59	Professional	26	$3.09	$4.79	$7.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.08 / $12.30 / $25.12	Professional	TC	$7.08	$12.30	$25.12