Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.30 / $98.00 / $116.07	Facility	26	$61.30	$98.00	$116.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.30 / $271.06 / $325.00	Professional		$153.30	$271.06	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.78 / $72.84 / $116.07	Professional	26	$46.78	$72.84	$116.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.00 / $173.87 / $227.00	Professional	TC	$92.00	$173.87	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.31 / $268.33 / $268.33	Professional		$94.31	$268.33	$268.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.95 / $51.03 / $118.13	Professional	26	$37.95	$51.03	$118.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $55.54 / $55.54 / $55.54	Professional	TC	$55.54	$55.54	$55.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.89 / $293.89 / $293.89	Professional		$293.89	$293.89	$293.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $238.32 / $417.15	Professional		$112.45	$238.32	$417.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.83 / $84.91 / $107.18	Professional	26	$43.83	$84.91	$107.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.61 / $143.60 / $332.24	Professional	TC	$68.61	$143.60	$332.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $105.00	Professional		$32.34	$32.34	$105.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.47 / $177.13 / $425.48	Professional		$125.47	$177.13	$425.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.74 / $62.81 / $105.26	Professional	26	$44.74	$62.81	$105.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.66 / $110.43 / $326.93	Professional	TC	$78.66	$110.43	$326.93