Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.76 / $26.98 / $59.24	Facility	26	$24.76	$26.98	$59.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $100.19 / $193.17	Professional		$81.51	$100.19	$193.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $26.98 / $59.24	Professional	26	$19.89	$26.98	$59.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.74 / $70.31 / $119.73	Professional	TC	$56.74	$70.31	$119.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.13 / $82.13 / $82.13	Professional		$82.13	$82.13	$82.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.97 / $26.63 / $65.55	Professional	26	$20.97	$26.63	$65.55
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 $74.75 / $122.62 / $169.19	Professional		$74.75	$122.62	$169.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.41 / $36.31 / $58.54	Professional	26	$22.41	$36.31	$58.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.19 / $86.31 / $125.02	Professional	TC	$54.19	$86.31	$125.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $32.34 / $73.92	Professional		$23.63	$32.34	$73.92
United Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $103.62 / $165.90	Professional		$69.81	$103.62	$165.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $30.74 / $49.13	Professional	26	$19.05	$30.74	$49.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.22 / $67.12 / $116.77	Professional	TC	$45.22	$67.12	$116.77