Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $30.90 / $141.25	Facility	26	$28.18	$30.90	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $208.93	Professional		$87.10	$123.03	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $39.81 / $81.28	Professional	26	$28.18	$39.81	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $83.18 / $144.54	Professional	TC	$60.26	$83.18	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $117.49	Professional		$64.57	$79.43	$117.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $30.90 / $51.29	Professional	26	$25.12	$30.90	$51.29
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $56.23 / $72.44	Professional	TC	$43.65	$56.23	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $218.78	Professional		$75.86	$134.90	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $44.67 / $67.61	Professional	26	$24.55	$44.67	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $89.13 / $147.91	Professional	TC	$51.29	$89.13	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $53.70	Professional		$32.36	$33.11	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $177.83	Professional		$85.11	$112.20	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $34.67 / $63.10	Professional	26	$28.18	$34.67	$63.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $75.86 / $109.65	Professional	TC	$57.54	$75.86	$109.65