Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $44.67 / $83.18	Facility	26	$40.74	$44.67	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $162.18	Professional		$70.79	$85.11	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $44.67 / $75.86	Professional	26	$33.11	$44.67	$75.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $39.81 / $75.86	Professional	TC	$25.70	$39.81	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $42.66 / $50.12	Professional	26	$42.66	$42.66	$50.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $46.77 / $46.77	Professional	TC	$46.77	$46.77	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $125.89	Professional		$74.13	$100.00	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $63.10 / $87.10	Professional	26	$45.71	$63.10	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $36.31 / $54.95	Professional	TC	$27.54	$36.31	$54.95
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 $63.10 / $83.18 / $131.83	Professional		$63.10	$83.18	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $53.70 / $81.28	Professional	26	$36.31	$53.70	$81.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $32.36 / $51.29	Professional	TC	$23.99	$32.36	$51.29