Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $42.66 / $58.88	Facility	26	$33.88	$42.66	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $177.83 / $512.86	Professional		$93.33	$177.83	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $72.44 / $229.09	Professional	26	$34.67	$72.44	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $70.79 / $147.91	Professional	TC	$54.95	$70.79	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $181.97	Professional		$81.28	$109.65	$181.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $39.81 / $67.61	Professional	26	$30.90	$39.81	$67.61
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $64.57 / $107.15	Professional	TC	$47.86	$64.57	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $158.49	Professional		$87.10	$117.49	$158.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $48.98 / $87.10	Professional	26	$41.69	$48.98	$87.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $64.57 / $91.20	Professional	TC	$39.81	$64.57	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $223.87	Professional		$91.20	$123.03	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $53.70 / $83.18	Professional	26	$38.90	$53.70	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $77.62 / $144.54	Professional	TC	$46.77	$77.62	$144.54
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 $91.20 / $112.20 / $194.98	Professional		$91.20	$112.20	$194.98
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 $53.70 / $69.18 / $114.82	Professional	TC	$53.70	$69.18	$114.82