Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.40 / $92.40 / $92.40	Facility	26	$92.40	$92.40	$92.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.81 / $235.81 / $235.81	Professional		$235.81	$235.81	$235.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.40 / $92.40 / $92.40	Professional	26	$92.40	$92.40	$92.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $143.40 / $143.40 / $143.40	Professional	TC	$143.40	$143.40	$143.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.08 / $82.08	Professional		$82.08	$82.08	$82.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.22 / $46.41 / $103.60	Professional	26	$35.22	$46.41	$103.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.96 / $189.96 / $189.96	Professional		$189.96	$189.96	$189.96
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 $101.18 / $134.60 / $317.76	Professional		$101.18	$134.60	$317.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.99 / $49.43 / $86.75	Professional	26	$33.99	$49.43	$86.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.25 / $81.89 / $218.38	Professional	TC	$64.25	$81.89	$218.38