Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.89 / $29.11 / $57.14	Facility	26	$23.89	$29.11	$57.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.01 / $88.99 / $126.92	Professional		$48.01	$88.99	$126.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.20 / $29.52 / $57.14	Professional	26	$24.20	$29.52	$57.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.98 / $44.18 / $94.41	Professional	TC	$23.98	$44.18	$94.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $52.83 / $61.28	Professional		$43.40	$52.83	$61.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.07 / $25.29 / $47.75	Professional	26	$20.07	$25.29	$47.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Professional		$140.00	$140.00	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $80.83 / $175.62	Professional		$42.93	$80.83	$175.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.34 / $39.18 / $56.79	Professional	26	$22.34	$39.18	$56.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.22 / $41.08 / $128.29	Professional	TC	$22.22	$41.08	$128.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $32.34 / $32.34	Professional		$24.58	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $49.73 / $72.37 / $151.75	Professional		$49.73	$72.37	$151.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.96 / $29.59 / $54.88	Professional	26	$22.96	$29.59	$54.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.28 / $36.38 / $80.37	Professional	TC	$25.28	$36.38	$80.37