Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $30.20 / $30.20	Facility	26	$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $275.42	Professional		$97.72	$141.25	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $36.31 / $95.50	Professional	26	$28.18	$36.31	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $109.65 / $194.98	Professional	TC	$89.13	$109.65	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $120.23	Professional		$117.49	$117.49	$120.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $61.66 / $64.57	Professional	26	$37.15	$61.66	$64.57
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $85.11 / $85.11	Professional	TC	$85.11	$85.11	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $229.09	Professional		$134.90	$151.36	$229.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $48.98 / $81.28	Professional	26	$35.48	$48.98	$81.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $107.15 / $151.36	Professional	TC	$89.13	$107.15	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $295.12	Professional		$125.89	$173.78	$295.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $45.71 / $74.13	Professional	26	$33.88	$45.71	$74.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $128.82 / $223.87	Professional	TC	$89.13	$128.82	$223.87
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 $123.03 / $151.36 / $257.04	Professional		$123.03	$151.36	$257.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $38.90 / $69.18	Professional	26	$31.62	$38.90	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $112.20 / $190.55	Professional	TC	$91.20	$112.20	$190.55