Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.67 / $44.31 / $97.30	Facility	26	$40.67	$44.31	$97.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.18 / $148.12 / $225.00	Professional		$99.18	$148.12	$225.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $60.11 / $97.30	Professional	26	$40.90	$60.11	$97.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.37 / $85.28 / $132.07	Professional	TC	$58.37	$85.28	$132.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.63 / $91.18 / $141.53	Professional		$80.63	$91.18	$141.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.53 / $48.40 / $108.03	Professional	26	$34.53	$48.40	$108.03
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $54.81 / $64.48 / $64.48	Professional	TC	$54.81	$64.48	$64.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $189.00 / $189.00	Professional		$189.00	$189.00	$189.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.04 / $155.46 / $243.68	Professional		$97.04	$155.46	$243.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.97 / $66.70 / $95.30	Professional	26	$39.97	$66.70	$95.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.61 / $91.11 / $147.19	Professional	TC	$56.61	$91.11	$147.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $53.46	Professional		$32.34	$32.34	$53.46
United Facility/Professional Professional Modifier Low / Median / High Price $98.98 / $128.25 / $227.76	Professional		$98.98	$128.25	$227.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.33 / $50.89 / $92.11	Professional	26	$39.33	$50.89	$92.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.47 / $75.48 / $140.75	Professional	TC	$58.47	$75.48	$140.75