Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $39.81 / $85.11	Facility	26	$36.31	$39.81	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $269.15	Professional		$114.82	$144.54	$269.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $50.12 / $85.11	Professional	26	$34.67	$50.12	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $102.33 / $173.78	Professional	TC	$79.43	$102.33	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $45.71 / $100.00	Professional	26	$32.36	$45.71	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $239.88	Professional		$95.50	$162.18	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $53.70 / $70.79	Professional	26	$30.20	$53.70	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $112.20 / $173.78	Professional	TC	$67.61	$112.20	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $204.17	Professional		$93.33	$141.25	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $43.65 / $72.44	Professional	26	$28.84	$43.65	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $93.33 / $147.91	Professional	TC	$64.57	$93.33	$147.91