Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.25 / $37.51 / $76.00	Facility	26	$26.25	$37.51	$76.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $112.34 / $195.50	Professional		$84.89	$112.34	$195.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.55 / $35.40 / $63.43	Professional	26	$26.55	$35.40	$63.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.64 / $84.53 / $132.07	Professional	TC	$58.64	$84.53	$132.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $85.33 / $196.26	Professional		$68.26	$85.33	$196.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.18 / $27.79 / $45.57	Professional	26	$22.18	$27.79	$45.57
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $46.04 / $46.04 / $48.28	Professional	TC	$46.04	$46.04	$48.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $178.00 / $178.00	Professional		$178.00	$178.00	$178.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $127.28 / $226.28	Professional		$69.30	$127.28	$226.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.73 / $43.07 / $61.65	Professional	26	$24.73	$43.07	$61.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.71 / $85.75 / $152.44	Professional	TC	$43.71	$85.75	$152.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $52.96	Professional		$32.34	$32.34	$52.96
United Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $101.49 / $180.54	Professional		$78.68	$101.49	$180.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.42 / $35.08 / $63.25	Professional	26	$25.42	$35.08	$63.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.26 / $70.37 / $126.39	Professional	TC	$46.26	$70.37	$126.39