Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.38 / $17.05 / $37.44	Facility	26	$15.38	$17.05	$37.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.78 / $116.53 / $194.96	Professional		$88.78	$116.53	$194.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.38 / $18.44 / $37.44	Professional	26	$15.38	$18.44	$37.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.73 / $98.85 / $157.52	Professional	TC	$71.73	$98.85	$157.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $72.20 / $72.20	Professional		$72.20	$72.20	$72.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $17.92 / $41.48	Professional	26	$13.18	$17.92	$41.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $164.00 / $164.00	Professional		$164.00	$164.00	$164.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.54 / $118.60 / $204.51	Professional		$68.54	$118.60	$204.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.99 / $25.52 / $36.75	Professional	26	$14.99	$25.52	$36.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.35 / $91.26 / $161.34	Professional	TC	$52.35	$91.26	$161.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $60.98	Professional		$32.34	$32.34	$60.98
United Facility/Professional Professional Modifier Low / Median / High Price $72.43 / $97.80 / $186.41	Professional		$72.43	$97.80	$186.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $21.31 / $38.36	Professional	26	$15.16	$21.31	$38.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.60 / $78.67 / $148.05	Professional	TC	$56.60	$78.67	$148.05