Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $35.48 / $91.20	Facility	26	$28.18	$35.48	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $144.54	Professional		$66.07	$79.43	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $38.90 / $120.23	Professional	26	$28.18	$38.90	$120.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $46.77 / $83.18	Professional	TC	$39.81	$46.77	$83.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $25.70 / $30.90	Professional	26	$25.12	$25.70	$30.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $83.18 / $123.03	Professional		$75.86	$83.18	$123.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $39.81 / $61.66	Professional	26	$32.36	$39.81	$61.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $45.71 / $66.07	Professional	TC	$38.02	$45.71	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $154.88	Professional		$72.44	$97.72	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $40.74 / $67.61	Professional	26	$31.62	$40.74	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $56.23 / $85.11	Professional	TC	$43.65	$56.23	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $158.49	Professional		$74.13	$93.33	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $40.74 / $67.61	Professional	26	$32.36	$40.74	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $52.48 / $91.20	Professional	TC	$41.69	$52.48	$91.20