Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $286.64 / $319.20	Facility		$77.70	$286.64	$319.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.04 / $26.04 / $26.04	Facility	26	$26.04	$26.04	$26.04
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $74.31 / $74.31 / $74.31	Facility	TC	$74.31	$74.31	$74.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.46 / $49.32 / $81.70	Professional		$32.46	$49.32	$81.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.18 / $12.61 / $40.86	Professional	26	$9.18	$12.61	$40.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.67 / $33.82 / $69.08	Professional	TC	$23.67	$33.82	$69.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $19.76 / $38.36	Professional		$19.54	$19.76	$38.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.11 / $6.86 / $15.03	Professional	26	$5.11	$6.86	$15.03
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.57 / $14.57 / $22.44	Professional	TC	$14.57	$14.57	$22.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.96 / $92.96 / $92.96	Facility		$92.96	$92.96	$92.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $42.06 / $66.40	Professional		$12.34	$42.06	$66.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $28.19 / $70.84	Professional		$19.34	$28.19	$70.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.26 / $6.08 / $18.36	Professional	26	$5.26	$6.08	$18.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.14 / $21.68 / $53.13	Professional	TC	$14.14	$21.68	$53.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.43 / $68.62 / $193.23	Professional		$46.43	$68.62	$193.23
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.24 / $18.39 / $86.50	Professional	26	$12.24	$18.39	$86.50
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.74 / $45.09 / $107.96	Professional	TC	$28.74	$45.09	$107.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $32.34 / $58.33	Professional		$9.33	$32.34	$58.33
United Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $46.51 / $71.16	Professional		$26.33	$46.51	$71.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.47 / $11.82 / $20.25	Professional	26	$7.47	$11.82	$20.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.86 / $33.31 / $56.53	Professional	TC	$18.86	$33.31	$56.53