Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $28.84 / $53.70	Facility	26	$28.84	$28.84	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $165.96	Professional		$69.18	$85.11	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $33.11 / $70.79	Professional	26	$28.18	$33.11	$70.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $51.29 / $83.18	Professional	TC	$39.81	$51.29	$83.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $35.48 / $75.86	Professional	26	$30.90	$35.48	$75.86
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 $58.88 / $102.33 / $158.49	Professional		$58.88	$102.33	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $47.86 / $70.79	Professional	26	$23.99	$47.86	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $57.54 / $87.10	Professional	TC	$34.67	$57.54	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $36.31	Professional		$32.36	$33.11	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $162.18	Professional		$64.57	$87.10	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $38.02 / $70.79	Professional	26	$28.84	$38.02	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $48.98 / $89.13	Professional	TC	$34.67	$48.98	$89.13