Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.90 / $73.63 / $76.68	Facility	26	$37.90	$73.63	$76.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $63.91 / $104.78	Professional		$51.79	$63.91	$104.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.90 / $45.88 / $76.68	Professional	26	$37.90	$45.88	$76.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.89 / $21.93 / $28.10	Professional	TC	$13.89	$21.93	$28.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.89 / $42.36 / $60.21	Professional	26	$33.89	$42.36	$60.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $103.00 / $103.00	Professional		$103.00	$103.00	$103.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $92.02 / $118.33	Professional		$54.53	$92.02	$118.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.06 / $67.09 / $84.40	Professional	26	$39.06	$67.09	$84.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.46 / $24.48 / $33.93	Professional	TC	$15.46	$24.48	$33.93
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 $53.09 / $71.05 / $124.41	Professional		$53.09	$71.05	$124.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.82 / $51.70 / $98.80	Professional	26	$37.82	$51.70	$98.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.88 / $19.79 / $40.86	Professional	TC	$14.88	$19.79	$40.86