Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $15.85 / $23.44	Facility	26	$12.88	$15.85	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $229.09	Professional		$57.54	$83.18	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $21.88 / $67.61	Professional	26	$12.88	$21.88	$67.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $54.95 / $114.82	Professional	TC	$42.66	$54.95	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $114.82	Professional		$50.12	$58.88	$114.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $15.14 / $21.38	Professional	26	$11.48	$15.14	$21.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $57.54 / $63.10	Professional	TC	$52.48	$57.54	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $75.86 / $128.82	Professional		$67.61	$75.86	$128.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $26.92 / $38.90	Professional	26	$15.14	$26.92	$38.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $54.95 / $79.43	Professional	TC	$41.69	$54.95	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $117.49	Professional		$60.26	$75.86	$117.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $19.50 / $31.62	Professional	26	$14.79	$19.50	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $56.23 / $87.10	Professional	TC	$43.65	$56.23	$87.10
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 $54.95 / $72.44 / $128.82	Professional		$54.95	$72.44	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.05 / $31.62	Professional	26	$15.14	$19.05	$31.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $53.70 / $97.72	Professional	TC	$40.74	$53.70	$97.72