Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $26.92 / $26.92	Facility	26	$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $165.96	Professional		$61.66	$77.62	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $30.90 / $67.61	Professional	26	$25.70	$30.90	$67.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $144.54 / $741.31	Professional	50	$144.54	$144.54	$741.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $46.77 / $91.20	Professional	TC	$33.88	$46.77	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $58.88	Professional		$54.95	$54.95	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $162.18	Professional		$75.86	$109.65	$162.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $36.31 / $52.48	Professional	26	$31.62	$36.31	$52.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $46.77 / $91.20	Professional	TC	$40.74	$46.77	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $177.83	Professional		$81.28	$109.65	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $43.65 / $67.61	Professional	26	$31.62	$43.65	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $66.07 / $104.71	Professional	TC	$45.71	$66.07	$104.71
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 / $95.50 / $162.18	Professional		$72.44	$95.50	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $37.15 / $63.10	Professional	26	$29.51	$37.15	$63.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $58.88 / $97.72	Professional	TC	$43.65	$58.88	$97.72