Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.74 / $35.95 / $78.95	Facility	26	$32.74	$35.95	$78.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.04 / $123.53 / $242.67	Professional		$101.04	$123.53	$242.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $35.95 / $78.95	Professional	26	$29.91	$35.95	$78.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.66 / $88.59 / $163.72	Professional	TC	$68.66	$88.59	$163.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $237.96 / $237.96 / $237.96	Professional		$237.96	$237.96	$237.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.11 / $35.04 / $87.85	Professional	26	$28.11	$35.04	$87.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $166.00 / $166.00	Professional		$166.00	$166.00	$166.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.21 / $154.59 / $214.38	Professional		$94.21	$154.59	$214.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.40 / $53.02 / $68.34	Professional	26	$32.40	$53.02	$68.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.81 / $100.46 / $147.47	Professional	TC	$64.81	$100.46	$147.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $32.34 / $93.11	Professional		$31.76	$32.34	$93.11
United Facility/Professional Professional Modifier Low / Median / High Price $88.46 / $131.74 / $243.36	Professional		$88.46	$131.74	$243.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.70 / $45.65 / $78.84	Professional	26	$28.70	$45.65	$78.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.71 / $80.84 / $132.94	Professional	TC	$56.71	$80.84	$132.94