Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.32 / $43.56 / $95.66	Facility	26	$39.32	$43.56	$95.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $149.84 / $191.11	Professional		$84.42	$149.84	$191.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $39.32 / $95.66	Professional	26	$15.71	$39.32	$95.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.47 / $95.45 / $161.07	Professional	TC	$43.47	$95.45	$161.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.60 / $105.33 / $105.33	Professional	26	$25.60	$105.33	$105.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.00 / $433.00 / $433.00	Professional		$433.00	$433.00	$433.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $137.13 / $471.58	Professional		$74.02	$137.13	$471.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.52 / $29.72 / $63.17	Professional	26	$18.52	$29.72	$63.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.96 / $103.52 / $442.75	Professional	TC	$40.96	$103.52	$442.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $75.34	Professional		$32.34	$32.34	$75.34
United Facility/Professional Professional Modifier Low / Median / High Price $95.45 / $119.30 / $515.26	Professional		$95.45	$119.30	$515.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.20 / $41.33 / $69.72	Professional	26	$15.20	$41.33	$69.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.16 / $83.41 / $471.40	Professional	TC	$51.16	$83.41	$471.40