Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $36.31 / $56.23	Facility	26	$36.31	$36.31	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $93.33 / $398.11	Professional		$47.86	$93.33	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $38.02 / $107.15	Professional	26	$24.55	$38.02	$107.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	50	$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $28.84 / $97.72	Professional	TC	$8.91	$28.84	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $100.00	Professional		$33.88	$42.66	$100.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $39.81 / $42.66	Professional	26	$28.18	$39.81	$42.66
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $7.59 / $7.76 / $8.13	Professional	TC	$7.59	$7.76	$8.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $102.33 / $154.88	Professional		$53.70	$102.33	$154.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $41.69 / $58.88	Professional	26	$25.12	$41.69	$58.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.47 / $70.79 / $114.82	Professional	TC	$10.47	$70.79	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $204.17	Professional		$66.07	$123.03	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $39.81 / $69.18	Professional	26	$30.90	$39.81	$69.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $89.13 / $141.25	Professional	TC	$14.79	$89.13	$141.25
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 $64.57 / $107.15 / $186.21	Professional		$64.57	$107.15	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $32.36 / $60.26	Professional	26	$25.70	$32.36	$60.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $72.44 / $128.82	Professional	TC	$33.11	$72.44	$128.82