Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.26 / $37.77 / $63.24	Facility	26	$31.26	$37.77	$63.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.22 / $270.69 / $430.45	Professional		$171.22	$270.69	$430.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.35 / $37.77 / $64.75	Professional	26	$30.35	$37.77	$64.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.87 / $207.47 / $351.19	Professional	TC	$140.87	$207.47	$351.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.83 / $179.83 / $179.83	Professional		$179.83	$179.83	$179.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.53 / $38.54 / $86.03	Professional	26	$27.53	$38.54	$86.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Professional		$250.00	$250.00	$250.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $315.98 / $447.07	Professional		$218.65	$315.98	$447.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.93 / $53.91 / $67.69	Professional	26	$31.93	$53.91	$67.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.72 / $249.59 / $382.32	Professional	TC	$186.72	$249.59	$382.32
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 $182.02 / $294.79 / $614.16	Professional		$182.02	$294.79	$614.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $42.09 / $90.83	Professional	26	$30.90	$42.09	$90.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.78 / $232.45 / $398.20	Professional	TC	$144.78	$232.45	$398.20