Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $58.88 / $97.72	Facility	26	$32.36	$58.88	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $323.59	Professional		$93.33	$128.82	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $44.67 / $70.79	Professional	26	$28.18	$44.67	$70.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $100.00 / $229.09	Professional	TC	$72.44	$100.00	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $26.30 / $63.10	Professional	26	$20.42	$26.30	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $213.80	Professional		$79.43	$134.90	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $42.66 / $58.88	Professional	26	$20.42	$42.66	$58.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $91.20 / $154.88	Professional	TC	$53.70	$91.20	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $181.97	Professional		$72.44	$107.15	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $31.62 / $56.23	Professional	26	$22.39	$31.62	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $77.62 / $123.03	Professional	TC	$48.98	$77.62	$123.03