Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $35.48 / $50.12	Facility	26	$28.18	$35.48	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $407.38	Professional		$87.10	$147.91	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $47.86 / $165.96	Professional	26	$28.18	$47.86	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $81.28 / $154.88	Professional	TC	$58.88	$81.28	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $186.21	Professional		$72.44	$97.72	$186.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $30.20 / $51.29	Professional	26	$24.55	$30.20	$51.29
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $60.26 / $95.50	Professional	TC	$26.30	$60.26	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $190.55	Professional		$102.33	$125.89	$190.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $60.26 / $85.11	Professional	26	$33.11	$60.26	$85.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $72.44 / $97.72	Professional	TC	$53.70	$72.44	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $229.09	Professional		$95.50	$131.83	$229.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $44.67 / $67.61	Professional	26	$31.62	$44.67	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $87.10 / $154.88	Professional	TC	$61.66	$87.10	$154.88
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 $93.33 / $114.82 / $199.53	Professional		$93.33	$114.82	$199.53
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 $61.66 / $77.62 / $138.04	Professional	TC	$61.66	$77.62	$138.04