Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.40 / $39.84 / $75.18	Facility	26	$37.40	$39.84	$75.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.29 / $79.36 / $154.55	Professional		$61.29	$79.36	$154.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.40 / $39.84 / $75.18	Professional	26	$33.40	$39.84	$75.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $39.51 / $79.50	Professional	TC	$22.57	$39.51	$79.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.52 / $87.94 / $148.59	Professional		$78.52	$87.94	$148.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.96 / $43.48 / $83.50	Professional	26	$36.96	$43.48	$83.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $92.20 / $119.47	Professional		$70.36	$92.20	$119.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.61 / $56.98 / $81.00	Professional	26	$40.61	$56.98	$81.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.09 / $35.22 / $53.57	Professional	TC	$24.09	$35.22	$53.57
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 $58.61 / $71.20 / $112.72	Professional		$58.61	$71.20	$112.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.96 / $45.76 / $69.03	Professional	26	$32.96	$45.76	$69.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.83 / $30.20 / $49.75	Professional	TC	$20.83	$30.20	$49.75