Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $34.67 / $50.12	Facility	26	$28.18	$34.67	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $70.79 / $234.42	Professional		$32.36	$70.79	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $40.74 / $173.78	Professional	26	$19.95	$40.74	$173.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $36.31 / $70.79 / $263.03	Professional	50	$36.31	$70.79	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $26.92 / $63.10	Professional	TC	$7.94	$26.92	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $114.82	Professional		$38.90	$58.88	$114.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $30.20 / $51.29	Professional	26	$24.55	$30.20	$51.29
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $24.55 / $41.69	Professional	TC	$19.05	$24.55	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $60.26 / $83.18	Professional		$26.92	$60.26	$83.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $30.90 / $42.66	Professional	26	$16.98	$30.90	$42.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $18.20 / $40.74	Professional	TC	$10.00	$18.20	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $95.50	Professional		$33.11	$54.95	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $28.84 / $53.70	Professional	26	$21.88	$28.84	$53.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $17.78 / $47.86	Professional	TC	$10.72	$17.78	$47.86
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 $28.84 / $50.12 / $93.33	Professional		$28.84	$50.12	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $25.12 / $46.77	Professional	26	$19.50	$25.12	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $22.91 / $47.86	Professional	TC	$9.33	$22.91	$47.86