Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $43.65 / $114.82	Facility	26	$40.74	$43.65	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $281.84	Professional		$112.20	$158.49	$281.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $56.23 / $114.82	Professional	26	$39.81	$56.23	$114.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $100.00 / $165.96	Professional	TC	$72.44	$100.00	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $177.83	Professional		$93.33	$112.20	$177.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $45.71 / $67.61	Professional	26	$35.48	$45.71	$67.61
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $69.18 / $93.33	Professional	TC	$50.12	$69.18	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $177.83 / $269.15	Professional		$95.50	$177.83	$269.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $66.07 / $97.72	Professional	26	$33.88	$66.07	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $109.65 / $181.97	Professional	TC	$60.26	$109.65	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $239.88	Professional		$112.20	$141.25	$239.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $51.29 / $91.20	Professional	26	$39.81	$51.29	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $91.20 / $147.91	Professional	TC	$69.18	$91.20	$147.91