Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $34.67 / $60.26	Facility	26	$34.67	$34.67	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $245.47	Professional		$97.72	$114.82	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $28.84 / $66.07	Professional	26	$25.12	$28.84	$66.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $87.10 / $181.97	Professional	TC	$72.44	$87.10	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $26.92 / $97.72	Professional	26	$15.49	$26.92	$97.72
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $44.67 / $44.67	Professional	TC	$44.67	$44.67	$44.67
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 $47.86 / $77.62 / $199.53	Professional		$47.86	$77.62	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $38.02 / $67.61	Professional	26	$13.80	$38.02	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $79.43 / $141.25	Professional	TC	$33.11	$79.43	$141.25
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 $61.66 / $112.20 / $190.55	Professional		$61.66	$112.20	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $30.20 / $57.54	Professional	26	$17.38	$30.20	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $83.18 / $131.83	Professional	TC	$44.67	$83.18	$131.83