Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $38.90 / $53.70	Facility	26	$30.90	$38.90	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $138.04 / $467.74	Professional		$70.79	$138.04	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $53.70 / $177.83	Professional	26	$30.90	$53.70	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $50.12 / $102.33	Professional	TC	$38.02	$50.12	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $141.25	Professional		$63.10	$85.11	$141.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $37.15 / $64.57	Professional	26	$28.18	$37.15	$64.57
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $39.81 / $87.10	Professional	TC	$28.18	$39.81	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $186.21	Professional		$87.10	$114.82	$186.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $41.69 / $69.18	Professional	26	$37.15	$41.69	$69.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $66.07 / $100.00	Professional	TC	$48.98	$66.07	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $177.83	Professional		$85.11	$112.20	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $48.98 / $75.86	Professional	26	$33.88	$48.98	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $64.57 / $100.00	Professional	TC	$46.77	$64.57	$100.00
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 $75.86 / $91.20 / $162.18	Professional		$75.86	$91.20	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $38.90 / $69.18	Professional	26	$31.62	$38.90	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $51.29 / $91.20	Professional	TC	$41.69	$51.29	$91.20