Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $50.12 / $72.44	Facility	26	$39.81	$50.12	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $645.65	Professional		$100.00	$199.53	$645.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $77.62 / $245.47	Professional	26	$39.81	$77.62	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $79.43 / $162.18	Professional	TC	$57.54	$79.43	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $190.55	Professional		$81.28	$107.15	$190.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $44.67 / $69.18	Professional	26	$35.48	$44.67	$69.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $54.95 / $74.13	Professional	TC	$41.69	$54.95	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $144.54 / $239.88	Professional		$74.13	$144.54	$239.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $63.10 / $112.20	Professional	26	$46.77	$63.10	$112.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $79.43 / $138.04	Professional	TC	$64.57	$79.43	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $251.19	Professional		$104.71	$154.88	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $63.10 / $97.72	Professional	26	$44.67	$63.10	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $91.20 / $147.91	Professional	TC	$64.57	$91.20	$147.91
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 $104.71 / $125.89 / $223.87	Professional		$104.71	$125.89	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $51.29 / $91.20	Professional	26	$40.74	$51.29	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $77.62 / $134.90	Professional	TC	$63.10	$77.62	$134.90