Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.82 / $24.06 / $52.84	Facility	26	$21.82	$24.06	$52.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $112.75 / $247.60	Professional		$82.81	$112.75	$247.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.87 / $25.44 / $52.84	Professional	26	$22.87	$25.44	$52.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $88.69 / $194.76	Professional	TC	$59.92	$88.69	$194.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.43 / $19.66 / $57.83	Professional	26	$18.43	$19.66	$57.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $133.00 / $133.00	Professional		$133.00	$133.00	$133.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.81 / $132.28 / $217.90	Professional		$95.81	$132.28	$217.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.47 / $40.04 / $52.50	Professional	26	$21.47	$40.04	$52.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.23 / $101.46 / $169.57	Professional	TC	$70.23	$101.46	$169.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $75.05	Professional		$32.34	$32.34	$75.05
United Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $130.63 / $183.92	Professional		$71.09	$130.63	$183.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.66 / $30.36 / $54.66	Professional	26	$21.66	$30.36	$54.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.08 / $99.08 / $162.93	Professional	TC	$50.08	$99.08	$162.93