Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $82.63 / $82.63 / $82.63	Facility	TC	$82.63	$82.63	$82.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $109.37 / $121.32	Professional		$49.15	$109.37	$121.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.23 / $28.94 / $53.42	Professional	26	$21.23	$28.94	$53.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.92 / $61.21 / $67.90	Professional	TC	$27.92	$61.21	$67.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $36.61 / $187.42	Professional		$29.62	$36.61	$187.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.44 / $15.44 / $79.04	Professional	26	$15.44	$15.44	$79.04
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.17 / $21.17 / $21.17	Professional	TC	$21.17	$21.17	$21.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.84 / $155.84 / $155.84	Professional		$155.84	$155.84	$155.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $55.23 / $181.10	Professional		$30.68	$55.23	$181.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.84 / $29.23 / $106.05	Professional	26	$12.84	$29.23	$106.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $30.47 / $75.05	Professional	TC	$17.57	$30.47	$75.05
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 $39.02 / $75.43 / $173.74	Professional		$39.02	$75.43	$173.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.82 / $31.76 / $79.66	Professional	26	$16.82	$31.76	$79.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.41 / $43.67 / $90.64	Professional	TC	$22.41	$43.67	$90.64