Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.04 / $24.97 / $26.58	Facility	26	$14.04	$24.97	$26.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.58 / $175.96 / $325.00	Professional		$92.58	$175.96	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $24.97 / $98.00	Professional	26	$11.79	$24.97	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $80.22 / $150.99 / $227.00	Professional	TC	$80.22	$150.99	$227.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $10.82 / $10.82	Professional	26	$9.52	$10.82	$10.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $178.00 / $178.00	Professional		$178.00	$178.00	$178.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.78 / $184.32 / $268.77	Professional		$83.78	$184.32	$268.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.07 / $19.12 / $24.36	Professional	26	$10.07	$19.12	$24.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.70 / $154.94 / $245.24	Professional	TC	$73.70	$154.94	$245.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $32.34 / $75.44	Professional		$9.86	$32.34	$75.44
United Facility/Professional Professional Modifier Low / Median / High Price $100.03 / $124.45 / $256.17	Professional		$100.03	$124.45	$256.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.64 / $13.89 / $23.98	Professional	26	$9.64	$13.89	$23.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.54 / $114.18 / $229.49	Professional	TC	$88.54	$114.18	$229.49