Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $19.05 / $42.66	Facility	26	$16.98	$19.05	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $165.96	Professional		$77.62	$102.33	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $19.95 / $42.66	Professional	26	$16.98	$19.95	$42.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $79.43 / $138.04	Professional	TC	$61.66	$79.43	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $66.07 / $112.20	Professional		$60.26	$66.07	$112.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $31.62 / $46.77	Professional	26	$15.14	$31.62	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $151.36	Professional		$67.61	$112.20	$151.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $28.18 / $39.81	Professional	26	$14.79	$28.18	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $83.18 / $109.65	Professional	TC	$50.12	$83.18	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $58.88	Professional		$32.36	$33.11	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $154.88	Professional		$63.10	$93.33	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $22.91 / $42.66	Professional	26	$16.98	$22.91	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $70.79 / $112.20	Professional	TC	$45.71	$70.79	$112.20