Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $50.12 / $112.20	Facility	26	$40.74	$50.12	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $371.54	Professional		$72.44	$97.72	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $51.29 / $83.18	Professional	26	$40.74	$51.29	$83.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $45.71 / $67.61	Professional	TC	$32.36	$45.71	$67.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $39.81 / $45.71	Professional	26	$38.02	$39.81	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $147.91 / $213.80	Professional		$77.62	$147.91	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $72.44 / $91.20	Professional	26	$42.66	$72.44	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $66.07 / $125.89	Professional	TC	$35.48	$66.07	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $309.03	Professional		$79.43	$107.15	$309.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $56.23 / $95.50	Professional	26	$39.81	$56.23	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $48.98 / $229.09	Professional	TC	$37.15	$48.98	$229.09