Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.93 / $32.57 / $54.48	Facility	26	$26.93	$32.57	$54.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.21 / $93.60 / $668.00	Professional		$51.21	$93.60	$668.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.07 / $52.31 / $170.22	Professional	26	$27.07	$52.31	$170.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.28 / $44.02 / $49.13	Professional	TC	$24.28	$44.02	$49.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $46.82 / $46.82	Professional		$46.82	$46.82	$46.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.65 / $33.79 / $75.43	Professional	26	$25.65	$33.79	$75.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $124.00 / $124.00	Professional		$124.00	$124.00	$124.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.66 / $96.59 / $126.36	Professional		$54.66	$96.59	$126.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.65 / $47.75 / $60.26	Professional	26	$27.65	$47.75	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.01 / $48.71 / $67.62	Professional	TC	$27.01	$48.71	$67.62
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 $55.80 / $73.13 / $152.36	Professional		$55.80	$73.13	$152.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.85 / $36.84 / $62.96	Professional	26	$26.85	$36.84	$62.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.46 / $35.78 / $86.79	Professional	TC	$28.46	$35.78	$86.79