Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $10.96 / $10.96	Facility	26	$10.96	$10.96	$10.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $61.66 / $147.91	Professional		$39.81	$61.66	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.13 / $36.31	Professional	26	$10.96	$14.13	$36.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $42.66 / $109.65	Professional	TC	$32.36	$42.66	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $81.28 / $107.15	Professional		$44.67	$81.28	$107.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $10.47 / $12.59	Professional	26	$10.47	$10.47	$12.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $162.18	Professional		$60.26	$93.33	$162.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $30.90 / $81.28	Professional	26	$13.49	$30.90	$81.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $47.86 / $95.50	Professional	TC	$39.81	$47.86	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $97.72	Professional		$50.12	$63.10	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $16.98 / $28.18	Professional	26	$12.59	$16.98	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $45.71 / $72.44	Professional	TC	$35.48	$45.71	$72.44
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 $45.71 / $60.26 / $107.15	Professional		$45.71	$60.26	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.22 / $27.54	Professional	26	$12.88	$16.22	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $43.65 / $79.43	Professional	TC	$32.36	$43.65	$79.43