Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.07 / $19.02 / $41.76	Facility	26	$17.07	$19.02	$41.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $86.40 / $148.44	Professional		$73.73	$86.40	$148.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.07 / $19.84 / $41.76	Professional	26	$17.07	$19.84	$41.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.57 / $66.36 / $138.85	Professional	TC	$55.57	$66.36	$138.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.01 / $77.01 / $77.01	Professional		$77.01	$77.01	$77.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.70 / $31.70 / $31.70	Professional	26	$31.70	$31.70	$31.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $131.00 / $131.00	Professional		$131.00	$131.00	$131.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $114.05 / $151.09	Professional		$71.40	$114.05	$151.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.89 / $29.99 / $41.49	Professional	26	$16.89	$29.99	$41.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.19 / $87.63 / $109.60	Professional	TC	$52.19	$87.63	$109.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $32.34 / $74.84	Professional		$16.60	$32.34	$74.84
United Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $99.25 / $170.19	Professional		$61.23	$99.25	$170.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.00 / $24.51 / $45.27	Professional	26	$17.00	$24.51	$45.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.23 / $74.03 / $125.33	Professional	TC	$44.23	$74.03	$125.33