Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.71 / $24.73 / $54.31	Facility	26	$22.71	$24.73	$54.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $103.07 / $205.00	Professional		$86.06	$103.07	$205.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.03 / $28.34 / $54.31	Professional	26	$23.03	$28.34	$54.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.40 / $76.22 / $150.69	Professional	TC	$61.40	$76.22	$150.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $83.47 / $101.60	Professional		$72.56	$83.47	$101.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.86 / $19.98 / $46.43	Professional	26	$18.86	$19.98	$46.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $108.00	Professional		$108.00	$108.00	$108.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.05 / $127.28 / $183.94	Professional		$77.05	$127.28	$183.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.07 / $36.38 / $53.61	Professional	26	$22.07	$36.38	$53.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.88 / $93.07 / $136.26	Professional	TC	$56.88	$93.07	$136.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $60.98	Professional		$32.34	$32.34	$60.98
United Facility/Professional Professional Modifier Low / Median / High Price $83.08 / $110.06 / $194.45	Professional		$83.08	$110.06	$194.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.96 / $30.32 / $53.05	Professional	26	$22.96	$30.32	$53.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.31 / $88.04 / $143.53	Professional	TC	$60.31	$88.04	$143.53