Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.94 / $44.17 / $74.64	Facility	26	$30.94	$44.17	$74.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.27 / $110.94 / $181.27	Professional		$79.27	$110.94	$181.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.23 / $46.58 / $74.64	Professional	26	$31.23	$46.58	$74.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.27 / $65.56 / $106.63	Professional	TC	$47.27	$65.56	$106.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $67.38 / $99.09	Professional		$63.42	$67.38	$99.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.18 / $32.72 / $81.80	Professional	26	$26.18	$32.72	$81.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $44.31 / $52.13 / $52.13	Professional	TC	$44.31	$52.13	$52.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $151.00 / $151.00	Professional		$151.00	$151.00	$151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $124.20 / $194.38	Professional		$70.79	$124.20	$194.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.47 / $49.87 / $72.41	Professional	26	$30.47	$49.87	$72.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.49 / $75.20 / $121.30	Professional	TC	$45.49	$75.20	$121.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $43.16	Professional		$32.34	$32.34	$43.16
United Facility/Professional Professional Modifier Low / Median / High Price $76.27 / $97.44 / $174.26	Professional		$76.27	$97.44	$174.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.88 / $42.08 / $75.94	Professional	26	$29.88	$42.08	$75.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.35 / $60.64 / $107.17	Professional	TC	$47.35	$60.64	$107.17