Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $30.20 / $35.48	Facility	26	$23.99	$30.20	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $239.88	Professional		$85.11	$107.15	$239.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $30.20 / $75.86	Professional	26	$23.99	$30.20	$75.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $72.44 / $131.83	Professional	TC	$60.26	$72.44	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $114.82	Professional		$69.18	$95.50	$114.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $28.84 / $44.67	Professional	26	$22.39	$28.84	$44.67
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	TC	$138.04	$138.04	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $165.96	Professional		$109.65	$123.03	$165.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $34.67 / $48.98	Professional	26	$29.51	$34.67	$48.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $87.10 / $120.23	Professional	TC	$79.43	$87.10	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $204.17	Professional		$95.50	$131.83	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $38.02 / $60.26	Professional	26	$26.92	$38.02	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $93.33 / $147.91	Professional	TC	$70.79	$93.33	$147.91
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 $87.10 / $109.65 / $194.98	Professional		$87.10	$109.65	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $30.90 / $54.95	Professional	26	$24.55	$30.90	$54.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $79.43 / $138.04	Professional	TC	$63.10	$79.43	$138.04