Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.30 / $269.04 / $724.92	Facility		$95.30	$269.04	$724.92
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.41 / $25.28 / $41.57	Facility	26	$22.41	$25.28	$41.57
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $100.01 / $173.99 / $481.75	Facility	TC	$100.01	$173.99	$481.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $131.81 / $224.00	Professional		$50.00	$131.81	$224.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.87 / $27.08 / $44.95	Professional	26	$19.87	$27.08	$44.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.01 / $113.73 / $173.99	Professional	TC	$100.01	$113.73	$173.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.66 / $87.49 / $107.70	Professional		$79.66	$87.49	$107.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.24 / $19.16 / $28.71	Professional	26	$15.24	$19.16	$28.71
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $54.68 / $72.63 / $96.50	Professional	TC	$54.68	$72.63	$96.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $154.00 / $154.00	Professional		$154.00	$154.00	$154.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.20 / $153.08 / $2,186.00	Facility		$97.20	$153.08	$2,186.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.99 / $162.19 / $216.25	Professional		$107.99	$162.19	$216.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.91 / $29.32 / $36.72	Professional	26	$19.91	$29.32	$36.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.52 / $130.03 / $180.36	Professional	TC	$87.52	$130.03	$180.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $74.02	Professional		$32.34	$32.34	$74.02
United Facility/Professional Professional Modifier Low / Median / High Price $103.04 / $150.50 / $216.86	Professional		$103.04	$150.50	$216.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.47 / $25.75 / $40.76	Professional	26	$19.47	$25.75	$40.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.17 / $125.27 / $196.12	Professional	TC	$84.17	$125.27	$196.12