Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $28.84 / $42.66	Facility	26	$23.44	$28.84	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $89.13 / $346.74	Professional		$48.98	$89.13	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $37.15 / $162.18	Professional	26	$23.99	$37.15	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $33.11 / $95.50	Professional	TC	$22.91	$33.11	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $46.77 / $109.65	Professional		$44.67	$46.77	$109.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $27.54 / $48.98	Professional	26	$20.42	$27.54	$48.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $24.55 / $42.66	Professional	TC	$21.38	$24.55	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $102.33 / $158.49	Professional		$60.26	$102.33	$158.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $44.67 / $67.61	Professional	26	$27.54	$44.67	$67.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $51.29 / $91.20	Professional	TC	$32.36	$51.29	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $154.88	Professional		$57.54	$89.13	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $38.02 / $57.54	Professional	26	$26.92	$38.02	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $51.29 / $100.00	Professional	TC	$28.18	$51.29	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $147.91	Professional		$52.48	$87.10	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $30.90 / $54.95	Professional	26	$23.99	$30.90	$54.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $56.23 / $107.15	Professional	TC	$26.30	$56.23	$107.15