Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.85 / $44.87 / $98.53	Facility	26	$40.85	$44.87	$98.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $182.14 / $305.70	Professional		$131.44	$182.14	$305.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.85 / $46.35 / $98.53	Professional	26	$40.85	$46.35	$98.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.59 / $132.85 / $207.17	Professional	TC	$90.59	$132.85	$207.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.42 / $112.28 / $311.72	Professional		$108.42	$112.28	$311.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.79 / $46.72 / $108.15	Professional	26	$34.79	$46.72	$108.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $187.00 / $187.00	Professional		$187.00	$187.00	$187.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $213.15 / $318.77	Professional		$130.15	$213.15	$318.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.17 / $71.51 / $98.66	Professional	26	$40.17	$71.51	$98.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.98 / $156.60 / $220.04	Professional	TC	$89.98	$156.60	$220.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $121.98	Professional		$32.34	$32.34	$121.98
United Facility/Professional Professional Modifier Low / Median / High Price $137.43 / $183.82 / $289.27	Professional		$137.43	$183.82	$289.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.56 / $56.38 / $89.13	Professional	26	$43.56	$56.38	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $96.89 / $125.53 / $200.15	Professional	TC	$96.89	$125.53	$200.15