Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $39.81 / $63.10	Facility	26	$32.36	$39.81	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $223.87	Professional		$102.33	$128.82	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $39.81 / $67.61	Professional	26	$32.36	$39.81	$67.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $91.20 / $158.49	Professional	TC	$74.13	$91.20	$158.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $31.62 / $53.70	Professional	26	$31.62	$31.62	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $125.89 / $181.97	Professional		$61.66	$125.89	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $61.66 / $81.28	Professional	26	$33.11	$61.66	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $64.57 / $125.89	Professional	TC	$10.72	$64.57	$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 $56.23 / $109.65 / $204.17	Professional		$56.23	$109.65	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $44.67 / $85.11	Professional	26	$33.88	$44.67	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $70.79 / $128.82	Professional	TC	$11.75	$70.79	$128.82