Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.49 / $108.67 / $358.82	Facility		$33.49	$108.67	$358.82
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.70 / $19.70 / $36.42	Facility	26	$19.70	$19.70	$36.42
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $13.79 / $320.22 / $354.00	Facility	TC	$13.79	$320.22	$354.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $61.91 / $115.00	Professional		$33.40	$61.91	$115.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.70 / $24.22 / $36.42	Professional	26	$19.70	$24.22	$36.42
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.75 / $22.50 / $44.27	Professional	52	$16.75	$22.50	$44.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.94 / $25.49 / $64.06	Professional	TC	$14.94	$25.49	$64.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $29.92 / $41.89	Professional		$29.92	$29.92	$41.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.57 / $182.57 / $182.57	Facility		$182.57	$182.57	$182.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Professional		$95.00	$95.00	$95.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.37 / $175.37 / $175.37	Facility		$175.37	$175.37	$175.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $75.88 / $123.48	Professional		$34.26	$75.88	$123.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.07 / $28.43 / $46.18	Professional	26	$19.07	$28.43	$46.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.75 / $46.99 / $83.23	Professional	TC	$14.75	$46.99	$83.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.85 / $32.34 / $32.34	Professional		$17.85	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $41.07 / $60.04 / $89.37	Professional		$41.07	$60.04	$89.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.84 / $24.23 / $30.58	Professional	26	$19.84	$24.23	$30.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.27 / $30.97 / $57.20	Professional	TC	$20.27	$30.97	$57.20