Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.53 / $45.53 / $46.43	Facility		$45.53	$45.53	$46.43
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $145.99 / $145.99 / $145.99	Facility	TC	$145.99	$145.99	$145.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $78.84 / $143.19	Professional		$58.03	$78.84	$143.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.21 / $20.96 / $64.38	Professional	26	$9.21	$20.96	$64.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.82 / $108.14 / $119.96	Professional	TC	$48.82	$108.14	$119.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $43.06 / $220.45	Professional		$43.06	$43.06	$220.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.73 / $6.73 / $26.93	Professional	26	$6.73	$6.73	$26.93
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $40.31 / $40.31 / $40.31	Professional	TC	$40.31	$40.31	$40.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.21 / $91.21 / $91.21	Professional		$91.21	$91.21	$91.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $60.40 / $122.36	Professional		$31.55	$60.40	$122.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.55 / $13.13 / $23.88	Professional	26	$5.55	$13.13	$23.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.59 / $49.66 / $100.52	Professional	TC	$27.59	$49.66	$100.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $84.95 / $150.47	Professional		$38.22	$84.95	$150.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.31 / $12.63 / $27.18	Professional	26	$7.31	$12.63	$27.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.91 / $71.06 / $123.30	Professional	TC	$30.91	$71.06	$123.30