Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.82 / $34.94 / $76.73	Facility	26	$31.82	$34.94	$76.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.91 / $101.45 / $163.50	Professional		$73.91	$101.45	$163.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.11 / $42.75 / $76.73	Professional	26	$32.11	$42.75	$76.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.60 / $58.43 / $86.76	Professional	TC	$38.60	$58.43	$86.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $68.30 / $83.33	Professional		$59.52	$68.30	$83.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.72 / $37.40 / $83.50	Professional	26	$26.72	$37.40	$83.50
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $39.04 / $45.93 / $45.93	Professional	TC	$39.04	$45.93	$45.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $110.89 / $172.71	Professional		$64.86	$110.89	$172.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.15 / $51.53 / $75.03	Professional	26	$31.15	$51.53	$75.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.70 / $59.73 / $97.69	Professional	TC	$37.70	$59.73	$97.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $37.36	Professional		$32.34	$32.34	$37.36
United Facility/Professional Professional Modifier Low / Median / High Price $71.06 / $90.30 / $168.56	Professional		$71.06	$90.30	$168.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.96 / $39.34 / $77.40	Professional	26	$30.96	$39.34	$77.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.61 / $51.03 / $94.28	Professional	TC	$39.61	$51.03	$94.28