Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.71 / $25.02 / $54.93	Facility	26	$22.71	$25.02	$54.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $113.31 / $190.73	Professional		$79.45	$113.31	$190.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.71 / $27.03 / $54.93	Professional	26	$22.71	$27.03	$54.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.74 / $86.27 / $135.80	Professional	TC	$56.74	$86.27	$135.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $68.27 / $68.27	Professional		$68.27	$68.27	$68.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.05 / $36.17 / $60.13	Professional	26	$24.05	$36.17	$60.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $152.00 / $152.00	Professional		$152.00	$152.00	$152.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.92 / $129.51 / $193.62	Professional		$76.92	$129.51	$193.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.33 / $40.04 / $53.22	Professional	26	$22.33	$40.04	$53.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.76 / $94.04 / $139.84	Professional	TC	$52.76	$94.04	$139.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $32.34 / $75.91	Professional		$21.91	$32.34	$75.91
United Facility/Professional Professional Modifier Low / Median / High Price $74.27 / $103.49 / $183.77	Professional		$74.27	$103.49	$183.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.55 / $31.36 / $54.17	Professional	26	$21.55	$31.36	$54.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.19 / $70.97 / $129.60	Professional	TC	$52.19	$70.97	$129.60