Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.08 / $851.08 / $851.08	Facility		$851.08	$851.08	$851.08
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $398.95 / $398.95 / $398.95	Facility	26	$398.95	$398.95	$398.95
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $452.11 / $452.11 / $452.11	Facility	TC	$452.11	$452.11	$452.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.69 / $373.05 / $1,008.65	Professional		$329.69	$373.05	$1,008.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $143.80 / $170.96 / $332.45	Professional	26	$143.80	$170.96	$332.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.89 / $201.44 / $650.52	Professional	TC	$168.89	$201.44	$650.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.71 / $165.71 / $165.71	Professional		$165.71	$165.71	$165.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $153.44 / $153.44 / $198.54	Professional	26	$153.44	$153.44	$198.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.08 / $378.87 / $574.78	Professional		$189.08	$378.87	$574.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $326.16 / $527.69	Professional		$326.16	$326.16	$527.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $153.56 / $153.56 / $246.22	Professional	26	$153.56	$153.56	$246.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.60 / $172.60 / $281.45	Professional	TC	$172.60	$172.60	$281.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $334.93 / $485.65 / $1,213.30	Professional		$334.93	$485.65	$1,213.30
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $162.27 / $207.30 / $434.92	Professional	26	$162.27	$207.30	$434.92
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $171.71 / $231.85 / $596.20	Professional	TC	$171.71	$231.85	$596.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $534.65	Professional		$32.34	$32.34	$534.65
United Facility/Professional Professional Modifier Low / Median / High Price $216.22 / $382.69 / $707.13	Professional		$216.22	$382.69	$707.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $114.42 / $190.70 / $259.35	Professional	26	$114.42	$190.70	$259.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.80 / $194.88 / $514.05	Professional	TC	$101.80	$194.88	$514.05