Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.92 / $28.38 / $62.32	Facility	26	$25.92	$28.38	$62.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.35 / $90.13 / $130.19	Professional		$52.35	$90.13	$130.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.92 / $28.91 / $62.32	Professional	26	$25.92	$28.91	$62.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.97 / $41.26 / $89.70	Professional	TC	$23.97	$41.26	$89.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.52 / $41.52 / $41.52	Professional		$41.52	$41.52	$41.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.59 / $39.47 / $98.70	Professional	26	$30.59	$39.47	$98.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $171.00 / $171.00	Professional		$171.00	$171.00	$171.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.49 / $134.30 / $211.30	Professional		$45.49	$134.30	$211.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.52 / $42.08 / $61.85	Professional	26	$28.52	$42.08	$61.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.75 / $86.96 / $153.83	Professional	TC	$8.75	$86.96	$153.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $35.96	Professional		$32.34	$32.34	$35.96
United Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $92.99 / $179.66	Professional		$70.56	$92.99	$179.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.73 / $35.33 / $63.93	Professional	26	$24.73	$35.33	$63.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.04 / $56.30 / $134.62	Professional	TC	$40.04	$56.30	$134.62