Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.80 / $79.68 / $98.00	Facility	26	$44.80	$79.68	$98.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $102.60 / $325.00	Professional		$80.98	$102.60	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.07 / $44.80 / $98.00	Professional	26	$34.07	$44.80	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.19 / $61.85 / $227.00	Professional	TC	$36.19	$61.85	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $56.76 / $58.12	Professional		$56.76	$56.76	$58.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.73 / $41.45 / $86.35	Professional	26	$27.73	$41.45	$86.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.00 / $181.00 / $181.00	Professional		$181.00	$181.00	$181.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $107.89 / $203.81	Professional		$60.95	$107.89	$203.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.00 / $58.59 / $78.19	Professional	26	$32.00	$58.59	$78.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.13 / $51.37 / $139.74	Professional	TC	$27.13	$51.37	$139.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $83.73 / $214.20	Professional		$63.74	$83.73	$214.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.63 / $46.09 / $76.81	Professional	26	$32.63	$46.09	$76.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.68 / $36.04 / $135.02	Professional	TC	$27.68	$36.04	$135.02