Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $34.67 / $66.07	Facility	26	$34.67	$34.67	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $223.87	Professional		$91.20	$125.89	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $46.77 / $87.10	Professional	26	$34.67	$46.77	$87.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $74.13 / $128.82	Professional	TC	$56.23	$74.13	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $138.04	Professional		$74.13	$89.13	$138.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $38.90 / $44.67	Professional	26	$30.20	$38.90	$44.67
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $54.95 / $77.62	Professional	TC	$47.86	$54.95	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $138.04 / $218.78	Professional		$77.62	$138.04	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $56.23 / $85.11	Professional	26	$29.51	$56.23	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $83.18 / $141.25	Professional	TC	$46.77	$83.18	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $51.29	Professional		$32.36	$33.11	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $169.82	Professional		$83.18	$112.20	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $43.65 / $77.62	Professional	26	$34.67	$43.65	$77.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $67.61 / $100.00	Professional	TC	$50.12	$67.61	$100.00