Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $46.77	Facility		$45.71	$45.71	$46.77
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $144.54 / $144.54 / $144.54	Facility	TC	$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $144.54	Professional		$53.70	$77.62	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $16.60 / $85.11	Professional	26	$7.94	$16.60	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $64.57 / $120.23	Professional	TC	$45.71	$64.57	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $223.87	Professional		$38.02	$43.65	$223.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $6.76 / $34.67	Professional	26	$5.37	$6.76	$34.67
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $28.84 / $33.11	Professional	TC	$28.84	$28.84	$33.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $60.26 / $123.03	Professional		$31.62	$60.26	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.50 / $13.18 / $23.99	Professional	26	$5.50	$13.18	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $50.12 / $100.00	Professional	TC	$27.54	$50.12	$100.00
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 $38.02 / $77.62 / $131.83	Professional		$38.02	$77.62	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $12.59 / $25.70	Professional	26	$7.24	$12.59	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $64.57 / $109.65	Professional	TC	$30.90	$64.57	$109.65