Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.03 / $47.50 / $80.00	Facility	26	$33.03	$47.50	$80.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.86 / $130.40 / $242.17	Professional		$103.86	$130.40	$242.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.04 / $37.19 / $79.68	Professional	26	$33.04	$37.19	$79.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.81 / $94.39 / $162.47	Professional	TC	$70.81	$94.39	$162.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.09 / $89.04 / $247.50	Professional		$86.09	$89.04	$247.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.15 / $35.31 / $68.70	Professional	26	$28.15	$35.31	$68.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $151.00 / $151.00	Professional		$151.00	$151.00	$151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.93 / $168.36 / $251.41	Professional		$102.93	$168.36	$251.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.70 / $57.56 / $79.45	Professional	26	$32.70	$57.56	$79.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.22 / $122.41 / $171.96	Professional	TC	$70.22	$122.41	$171.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.06 / $32.34 / $96.85	Professional		$32.06	$32.34	$96.85
United Facility/Professional Professional Modifier Low / Median / High Price $110.88 / $146.47 / $225.80	Professional		$110.88	$146.47	$225.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.14 / $48.04 / $74.67	Professional	26	$35.14	$48.04	$74.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.73 / $98.44 / $156.41	Professional	TC	$75.73	$98.44	$156.41