Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $27.54 / $52.48	Facility	26	$27.54	$27.54	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $263.03	Professional		$112.20	$144.54	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $37.15 / $81.28	Professional	26	$26.92	$37.15	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $109.65 / $186.21	Professional	TC	$83.18	$109.65	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $177.83 / $302.00	Professional		$89.13	$177.83	$302.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $33.11 / $74.13	Professional	26	$23.99	$33.11	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $263.03	Professional		$109.65	$165.96	$263.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $44.67 / $67.61	Professional	26	$23.44	$44.67	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $128.82 / $229.09	Professional	TC	$70.79	$128.82	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $123.03	Professional		$32.36	$33.11	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $223.87	Professional		$95.50	$147.91	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $34.67 / $63.10	Professional	26	$27.54	$34.67	$63.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $112.20 / $162.18	Professional	TC	$64.57	$112.20	$162.18