Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $32.36 / $72.44	Facility	26	$29.51	$32.36	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $208.93	Professional		$85.11	$107.15	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $40.74 / $77.62	Professional	26	$28.84	$40.74	$77.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $117.49 / $199.53 / $575.44	Professional	50	$117.49	$199.53	$575.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $72.44 / $134.90	Professional	TC	$56.23	$72.44	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $120.23	Professional		$61.66	$75.86	$120.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $37.15 / $79.43	Professional	26	$25.70	$37.15	$79.43
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $89.13 / $123.03 / $177.83	Professional	50	$89.13	$123.03	$177.83
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $97.72 / $97.72	Professional	TC	$97.72	$97.72	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $204.17	Professional		$72.44	$131.83	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $47.86 / $72.44	Professional	26	$25.12	$47.86	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $83.18 / $131.83	Professional	TC	$47.86	$83.18	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $50.12	Professional		$32.36	$33.11	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $190.55	Professional		$83.18	$109.65	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $37.15 / $70.79	Professional	26	$29.51	$37.15	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $72.44 / $123.03	Professional	TC	$52.48	$72.44	$123.03