Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $467.74 / $467.74 / $467.74	Facility	26	$467.74	$467.74	$467.74
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	TC	$524.81	$524.81	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $363.08 / $912.01	Professional		$316.23	$363.08	$912.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $186.21 / $549.54	Professional	26	$147.91	$186.21	$549.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $186.21 / $512.86	Professional	TC	$151.36	$186.21	$512.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $81.28 / $81.28	Professional	26	$81.28	$81.28	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $380.19 / $575.44	Professional		$190.55	$380.19	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $524.81	Professional		$323.59	$323.59	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $154.88 / $245.47	Professional	26	$154.88	$154.88	$245.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $173.78 / $281.84	Professional	TC	$173.78	$173.78	$281.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $1,258.93	Professional		$331.13	$501.19	$1,258.93
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $204.17 / $457.09	Professional	26	$162.18	$204.17	$457.09
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $218.78 / $602.56	Professional	TC	$169.82	$218.78	$602.56
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 $213.80 / $389.05 / $741.31	Professional		$213.80	$389.05	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $190.55 / $288.40	Professional	26	$114.82	$190.55	$288.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $194.98 / $512.86	Professional	TC	$102.33	$194.98	$512.86