Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $22.91 / $41.69	Facility	26	$22.91	$22.91	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $204.17	Professional		$87.10	$112.20	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $25.70 / $56.23	Professional	26	$21.88	$25.70	$56.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $83.18 / $138.04	Professional	TC	$64.57	$83.18	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $72.44 / $117.49	Professional		$61.66	$72.44	$117.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $23.99 / $58.88	Professional	26	$19.05	$23.99	$58.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $64.57 / $64.57	Professional	TC	$64.57	$64.57	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $181.97	Professional		$72.44	$125.89	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $36.31 / $54.95	Professional	26	$19.05	$36.31	$54.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $91.20 / $134.90	Professional	TC	$53.70	$91.20	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $60.26	Professional		$32.36	$33.11	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $165.96	Professional		$83.18	$114.82	$165.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $28.18 / $52.48	Professional	26	$22.91	$28.18	$52.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $83.18 / $123.03	Professional	TC	$58.88	$83.18	$123.03