Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.80 / $43.26 / $71.92	Facility	26	$29.80	$43.26	$71.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.27 / $114.74 / $200.27	Professional		$86.27	$114.74	$200.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.80 / $40.43 / $71.92	Professional	26	$29.80	$40.43	$71.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $178.89 / $198.32 / $415.77	Professional	50	$178.89	$198.32	$415.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.47 / $76.34 / $128.35	Professional	TC	$56.47	$76.34	$128.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $72.45 / $201.69	Professional		$61.00	$72.45	$201.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.56 / $32.04 / $53.84	Professional	26	$25.56	$32.04	$53.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $102.94 / $108.69 / $302.52	Professional	50	$102.94	$108.69	$302.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $142.00 / $142.00	Professional		$142.00	$142.00	$142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $135.25 / $195.08	Professional		$82.58	$135.25	$195.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.50 / $48.26 / $71.08	Professional	26	$29.50	$48.26	$71.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.51 / $84.00 / $124.01	Professional	TC	$52.51	$84.00	$124.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $51.44	Professional		$32.34	$32.34	$51.44
United Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $112.26 / $200.40	Professional		$79.31	$112.26	$200.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.99 / $40.89 / $78.98	Professional	26	$28.99	$40.89	$78.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.32 / $71.81 / $126.38	Professional	TC	$50.32	$71.81	$126.38