Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $25.70 / $57.54	Facility	26	$24.55	$25.70	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $194.98	Professional		$81.28	$100.00	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $30.20 / $58.88	Professional	26	$23.99	$30.20	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $72.44 / $123.03	Professional	TC	$56.23	$72.44	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $26.30 / $66.07	Professional	26	$21.38	$26.30	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $169.82	Professional		$67.61	$114.82	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $36.31 / $52.48	Professional	26	$20.42	$36.31	$52.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $81.28 / $125.89	Professional	TC	$47.86	$81.28	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $50.12	Professional		$32.36	$33.11	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $144.54	Professional		$64.57	$97.72	$144.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $29.51 / $47.86	Professional	26	$19.05	$29.51	$47.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $67.61 / $104.71	Professional	TC	$45.71	$67.61	$104.71