Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.46 / $54.17 / $69.09	Facility	26	$31.46	$54.17	$69.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $115.73 / $217.92	Professional		$91.59	$115.73	$217.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.62 / $33.53 / $69.09	Professional	26	$28.62	$33.53	$69.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.97 / $81.98 / $148.83	Professional	TC	$62.97	$81.98	$148.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.77 / $212.77 / $212.77	Professional		$212.77	$212.77	$212.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.47 / $30.53 / $58.00	Professional	26	$24.47	$30.53	$58.00
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 $89.97 / $134.93 / $204.56	Professional		$89.97	$134.93	$204.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.07 / $47.40 / $70.91	Professional	26	$28.07	$47.40	$70.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.27 / $89.36 / $134.29	Professional	TC	$61.27	$89.36	$134.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $32.34 / $83.26	Professional		$27.56	$32.34	$83.26
United Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $115.42 / $219.81	Professional		$79.26	$115.42	$219.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.51 / $40.38 / $74.78	Professional	26	$28.51	$40.38	$74.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.18 / $77.73 / $143.62	Professional	TC	$54.18	$77.73	$143.62