Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.72 / $58.22 / $98.00	Facility	26	$32.72	$58.22	$98.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $112.29 / $300.00	Professional		$66.51	$112.29	$300.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.03 / $45.88 / $63.90	Professional	26	$24.03	$45.88	$63.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.50 / $79.56 / $227.00	Professional	TC	$42.50	$79.56	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.05 / $80.05 / $80.05	Professional		$80.05	$80.05	$80.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.23 / $38.65 / $63.23	Professional	26	$20.23	$38.65	$63.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $97.00 / $97.00	Professional		$97.00	$97.00	$97.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $142.13 / $209.34	Professional		$83.69	$142.13	$209.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.23 / $44.86 / $56.79	Professional	26	$23.23	$44.86	$56.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.20 / $93.72 / $155.37	Professional	TC	$59.20	$93.72	$155.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $56.69	Professional		$32.34	$32.34	$56.69
United Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $108.60 / $180.98	Professional		$74.93	$108.60	$180.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.34 / $32.54 / $55.96	Professional	26	$22.34	$32.54	$55.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.57 / $80.00 / $120.61	Professional	TC	$53.57	$80.00	$120.61