Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $25.12 / $43.65	Facility	26	$21.88	$25.12	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $208.93	Professional		$87.10	$107.15	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $32.36 / $181.97	Professional	26	$23.44	$32.36	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $79.43 / $107.15	Professional	TC	$64.57	$79.43	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $81.28	Professional		$58.88	$58.88	$81.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $26.92 / $35.48	Professional	26	$15.49	$26.92	$35.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $117.49 / $154.88	Professional		$50.12	$117.49	$154.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $36.31 / $74.13	Professional	26	$30.90	$36.31	$74.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $87.10 / $114.82	Professional	TC	$14.13	$87.10	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $134.90	Professional		$45.71	$63.10	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $16.60 / $38.90	Professional	26	$13.18	$16.60	$38.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $44.67 / $95.50	Professional	TC	$32.36	$44.67	$95.50
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 $53.70 / $87.10 / $223.87	Professional		$53.70	$87.10	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $24.55 / $66.07	Professional	26	$15.85	$24.55	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $63.10 / $158.49	Professional	TC	$38.02	$63.10	$158.49