Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.67 / $84.82 / $98.00	Facility	26	$47.67	$84.82	$98.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.22 / $216.21 / $325.00	Professional		$128.22	$216.21	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.46 / $43.53 / $98.00	Professional	26	$36.46	$43.53	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.87 / $142.12 / $227.00	Professional	TC	$73.87	$142.12	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $93.50 / $215.05	Professional		$75.58	$93.50	$215.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.56 / $37.03 / $92.58	Professional	26	$29.56	$37.03	$92.58
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $47.44 / $47.44 / $47.44	Professional	TC	$47.44	$47.44	$47.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.80 / $233.80 / $233.80	Professional		$233.80	$233.80	$233.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.63 / $219.31 / $336.73	Professional		$89.63	$219.31	$336.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.17 / $66.43 / $94.00	Professional	26	$34.17	$66.43	$94.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.46 / $135.77 / $268.41	Professional	TC	$55.46	$135.77	$268.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $84.15	Professional		$32.34	$32.34	$84.15
United Facility/Professional Professional Modifier Low / Median / High Price $97.35 / $140.75 / $343.04	Professional		$97.35	$140.75	$343.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.49 / $48.04 / $82.38	Professional	26	$33.49	$48.04	$82.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.90 / $88.34 / $265.66	Professional	TC	$62.90	$88.34	$265.66