Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $28.18 / $89.13	Facility	26	$25.70	$28.18	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $128.82	Professional		$50.12	$75.86	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $38.02 / $61.66	Professional	26	$25.12	$38.02	$61.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $30.20 / $89.13	Professional	TC	$10.00	$30.20	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $109.65	Professional		$31.62	$42.66	$109.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $39.81 / $102.33	Professional	26	$23.99	$39.81	$102.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $8.91 / $8.91	Professional	TC	$8.91	$8.91	$8.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $107.15 / $213.80	Professional		$42.66	$107.15	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $41.69 / $61.66	Professional	26	$27.54	$41.69	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.32 / $72.44 / $158.49	Professional	TC	$8.32	$72.44	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $35.48	Professional		$32.36	$33.11	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $190.55	Professional		$66.07	$91.20	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $32.36 / $58.88	Professional	26	$25.12	$32.36	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $57.54 / $134.90	Professional	TC	$38.90	$57.54	$134.90