Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.19 / $26.92 / $59.12	Facility	26	$24.19	$26.92	$59.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $116.11 / $183.68	Professional		$86.35	$116.11	$183.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.19 / $30.45 / $59.12	Professional	26	$24.19	$30.45	$59.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.16 / $86.69 / $141.38	Professional	TC	$62.16	$86.69	$141.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.04 / $88.79 / $97.26	Professional		$72.04	$88.79	$97.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.79 / $22.24 / $51.24	Professional	26	$20.79	$22.24	$51.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $131.00 / $131.00	Professional		$131.00	$131.00	$131.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.91 / $130.59 / $193.37	Professional		$73.91	$130.59	$193.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.07 / $39.06 / $57.47	Professional	26	$24.07	$39.06	$57.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.51 / $91.59 / $135.43	Professional	TC	$57.51	$91.59	$135.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $115.80 / $197.61	Professional		$78.30	$115.80	$197.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.46 / $30.32 / $60.66	Professional	26	$23.46	$30.32	$60.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.84 / $81.42 / $138.62	Professional	TC	$54.84	$81.42	$138.62