Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $23.99 / $44.67	Facility	26	$23.99	$23.99	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $199.53	Professional		$100.00	$123.03	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $28.18 / $64.57	Professional	26	$22.91	$28.18	$64.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $93.33 / $154.88	Professional	TC	$75.86	$93.33	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $36.31 / $43.65	Professional	26	$30.20	$36.31	$43.65
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	TC	$144.54	$144.54	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $194.98	Professional		$83.18	$144.54	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $39.81 / $56.23	Professional	26	$22.39	$39.81	$56.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $102.33 / $138.04	Professional	TC	$61.66	$102.33	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $72.44	Professional		$32.36	$33.11	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $204.17	Professional		$81.28	$123.03	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.20 / $56.23	Professional	26	$22.91	$30.20	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $91.20 / $147.91	Professional	TC	$57.54	$91.20	$147.91