Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.30 / $53.59 / $82.00	Facility	26	$28.30	$53.59	$82.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $138.41 / $205.38	Professional		$88.85	$138.41	$205.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.60 / $42.39 / $70.20	Professional	26	$28.60	$42.39	$70.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.53 / $94.28 / $137.04	Professional	TC	$60.53	$94.28	$137.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $89.70 / $134.88	Professional		$70.31	$89.70	$134.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.82 / $25.46 / $49.10	Professional	26	$23.82	$25.46	$49.10
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.39 / $71.70 / $71.70	Professional	TC	$25.39	$71.70	$71.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $179.00 / $179.00	Professional		$179.00	$179.00	$179.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $137.97 / $231.11	Professional		$79.30	$137.97	$231.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.66 / $46.46 / $65.81	Professional	26	$26.66	$46.46	$65.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.33 / $94.65 / $156.88	Professional	TC	$52.33	$94.65	$156.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $55.22	Professional		$32.34	$32.34	$55.22
United Facility/Professional Professional Modifier Low / Median / High Price $89.21 / $112.36 / $189.58	Professional		$89.21	$112.36	$189.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.01 / $39.56 / $74.68	Professional	26	$28.01	$39.56	$74.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.91 / $78.44 / $133.97	Professional	TC	$58.91	$78.44	$133.97