Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.67 / $44.59 / $97.92	Facility	26	$40.67	$44.59	$97.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $162.11 / $262.26	Professional		$115.51	$162.11	$262.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $61.66 / $97.92	Professional	26	$40.90	$61.66	$97.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.98 / $106.34 / $164.35	Professional	TC	$72.98	$106.34	$164.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.29 / $98.06 / $178.74	Professional		$92.29	$98.06	$178.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.76 / $43.49 / $108.73	Professional	26	$34.76	$43.49	$108.73
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $68.43 / $80.50 / $80.50	Professional	TC	$68.43	$80.50	$80.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $217.00 / $217.00	Professional		$217.00	$217.00	$217.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $178.89 / $281.05	Professional		$103.02	$178.89	$281.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.24 / $66.28 / $95.30	Professional	26	$40.24	$66.28	$95.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.40 / $114.12 / $185.73	Professional	TC	$68.40	$114.12	$185.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $66.98	Professional		$32.34	$32.34	$66.98
United Facility/Professional Professional Modifier Low / Median / High Price $109.76 / $148.53 / $242.34	Professional		$109.76	$148.53	$242.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.33 / $54.83 / $98.46	Professional	26	$39.33	$54.83	$98.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.47 / $94.02 / $176.29	Professional	TC	$69.47	$94.02	$176.29