Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.79 / $127.79 / $127.79	Facility		$127.79	$127.79	$127.79
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.95 / $68.95 / $68.95	Facility	26	$68.95	$68.95	$68.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $46.90 / $91.23	Professional		$34.84	$46.90	$91.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.75 / $25.41 / $59.07	Professional	26	$22.75	$25.41	$59.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.88 / $21.49 / $32.31	Professional	TC	$9.88	$21.49	$32.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.26 / $14.13 / $34.21	Professional	26	$13.26	$14.13	$34.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $55.85 / $86.43	Professional		$32.68	$55.85	$86.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $27.50 / $87.37	Professional		$22.92	$27.50	$87.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.04 / $16.19 / $49.26	Professional	26	$14.04	$16.19	$49.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.68 / $12.57 / $40.22	Professional	TC	$5.68	$12.57	$40.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.70 / $85.61 / $146.25	Professional		$55.70	$85.61	$146.25
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $32.42 / $47.75 / $148.97	Professional	26	$32.42	$47.75	$148.97
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.17 / $33.94 / $128.26	Professional	TC	$17.17	$33.94	$128.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $34.19 / $80.28	Professional		$32.34	$34.19	$80.28
United Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $52.04 / $78.51	Professional		$33.35	$52.04	$78.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.05 / $33.32 / $86.43	Professional	26	$20.05	$33.32	$86.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $19.63 / $33.79	Professional	TC	$11.22	$19.63	$33.79