Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.62 / $31.46 / $69.09	Facility	26	$28.62	$31.46	$69.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $86.51 / $165.17	Professional		$69.23	$86.51	$165.17
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 $40.61 / $52.77 / $96.07	Professional	TC	$40.61	$52.77	$96.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.53 / $38.00 / $76.33	Professional	26	$30.53	$38.00	$76.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $103.00 / $156.27	Professional		$67.95	$103.00	$156.27
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 $39.24 / $57.52 / $86.40	Professional	TC	$39.24	$57.52	$86.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $32.34 / $63.41	Professional		$27.56	$32.34	$63.41
United Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $91.29 / $168.64	Professional		$63.71	$91.29	$168.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.43 / $38.52 / $74.77	Professional	26	$27.43	$38.52	$74.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.82 / $50.05 / $92.45	Professional	TC	$34.82	$50.05	$92.45