Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.46 / $44.53 / $83.32	Facility	26	$41.46	$44.53	$83.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $84.73 / $164.02	Professional		$71.41	$84.73	$164.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.42 / $47.96 / $83.32	Professional	26	$38.42	$47.96	$83.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.18 / $40.15 / $80.70	Professional	TC	$26.18	$40.15	$80.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.79 / $93.79 / $93.79	Professional		$93.79	$93.79	$93.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.32 / $41.32 / $41.32	Professional	26	$41.32	$41.32	$41.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $93.00 / $93.00	Professional		$93.00	$93.00	$93.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $99.50 / $139.69	Professional		$74.98	$99.50	$139.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.54 / $63.79 / $94.70	Professional	26	$45.54	$63.79	$94.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.84 / $37.15 / $54.75	Professional	TC	$27.84	$37.15	$54.75
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 $62.65 / $83.25 / $129.74	Professional		$62.65	$83.25	$129.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $52.08 / $80.55	Professional	26	$37.15	$52.08	$80.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.63 / $30.85 / $50.82	Professional	TC	$22.63	$30.85	$50.82