Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $87.10 / $87.10 / $87.10	Facility	TC	$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $190.55	Professional		$69.18	$102.33	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $85.11 / $117.49	Professional	26	$44.67	$85.11	$117.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $38.02 / $70.79	Professional	TC	$28.18	$38.02	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $38.90 / $177.83	Professional	26	$34.67	$38.90	$177.83
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $18.62 / $18.62	Professional	TC	$18.62	$18.62	$18.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $83.18 / $165.96	Professional		$45.71	$83.18	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $67.61 / $123.03	Professional	26	$28.18	$67.61	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $28.18 / $53.70	Professional	TC	$14.79	$28.18	$53.70
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 / $100.00 / $169.82	Professional		$56.23	$100.00	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $64.57 / $125.89	Professional	26	$37.15	$64.57	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $34.67 / $58.88	Professional	TC	$17.78	$34.67	$58.88