Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.54 / $107.00 / $179.12	Facility	26	$88.54	$107.00	$179.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.04 / $200.97 / $222.60	Professional		$110.04	$200.97	$222.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.54 / $106.16 / $185.20	Professional	26	$88.54	$106.16	$185.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.50 / $43.49 / $110.68	Professional	TC	$21.50	$43.49	$110.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.57 / $104.57 / $104.57	Professional		$104.57	$104.57	$104.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $78.81 / $110.34 / $246.30	Professional	26	$78.81	$110.34	$246.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.00 / $457.00 / $457.00	Professional		$457.00	$457.00	$457.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.52 / $225.52 / $455.51	Professional		$119.52	$225.52	$455.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.74 / $157.21 / $202.27	Professional	26	$90.74	$157.21	$202.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.78 / $54.30 / $257.95	Professional	TC	$28.78	$54.30	$257.95
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 $116.49 / $175.42 / $452.16	Professional		$116.49	$175.42	$452.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.64 / $120.83 / $212.43	Professional	26	$88.64	$120.83	$212.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.38 / $40.22 / $325.92	Professional	TC	$23.38	$40.22	$325.92