Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $14.79 / $26.92	Facility	26	$14.79	$14.79	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $144.54	Professional		$63.10	$83.18	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $16.98 / $34.67	Professional	26	$14.13	$16.98	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $64.57 / $114.82	Professional	TC	$47.86	$64.57	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $58.88 / $162.18	Professional		$53.70	$58.88	$162.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $18.20 / $40.74	Professional	26	$15.85	$18.20	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $125.89	Professional		$53.70	$93.33	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $24.55 / $34.67	Professional	26	$12.59	$24.55	$34.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $69.18 / $91.20	Professional	TC	$41.69	$69.18	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $46.77	Professional		$32.36	$33.11	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $131.83	Professional		$52.48	$79.43	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $19.95 / $37.15	Professional	26	$14.79	$19.95	$37.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $58.88 / $93.33	Professional	TC	$37.15	$58.88	$93.33