Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.66 / $234.66 / $266.50	Facility		$234.66	$234.66	$266.50
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $139.44 / $139.44 / $139.44	Facility	26	$139.44	$139.44	$139.44
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $95.21 / $95.21 / $95.21	Facility	TC	$95.21	$95.21	$95.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $86.94 / $166.83	Professional		$75.48	$86.94	$166.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.27 / $58.14 / $238.85	Professional	26	$48.27	$58.14	$238.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.42 / $35.56 / $68.23	Professional	TC	$28.42	$35.56	$68.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.20 / $29.89 / $80.45	Professional	26	$28.20	$29.89	$80.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.83 / $28.83 / $28.83	Professional	TC	$28.83	$28.83	$28.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $103.06 / $159.47	Professional		$66.09	$103.06	$159.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $52.82 / $161.83	Professional		$45.50	$52.82	$161.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.40 / $32.63 / $99.62	Professional	26	$28.40	$32.63	$99.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.83 / $20.35 / $65.11	Professional	TC	$10.83	$20.35	$65.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $110.31 / $157.97 / $268.55	Professional		$110.31	$157.97	$268.55
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $65.55 / $96.54 / $332.19	Professional	26	$65.55	$96.54	$332.19
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.10 / $56.17 / $292.20	Professional	TC	$32.10	$56.17	$292.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $55.34 / $147.41	Professional		$32.34	$55.34	$147.41
United Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $97.15 / $152.34	Professional		$62.33	$97.15	$152.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.32 / $63.21 / $109.16	Professional	26	$40.32	$63.21	$109.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.01 / $32.79 / $49.01	Professional	TC	$22.01	$32.79	$49.01