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 $69.18 / $87.10 / $154.88	Professional		$69.18	$87.10	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $46.77 / $81.28	Professional	26	$38.02	$46.77	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $37.15 / $67.61	Professional	TC	$22.91	$37.15	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $158.49	Professional		$61.66	$91.20	$158.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $47.86 / $93.33	Professional	26	$42.66	$47.86	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $120.23	Professional		$69.18	$95.50	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $61.66 / $81.28	Professional	26	$45.71	$61.66	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $33.11 / $48.98	Professional	TC	$23.99	$33.11	$48.98
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 $58.88 / $77.62 / $123.03	Professional		$58.88	$77.62	$123.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $50.12 / $77.62	Professional	26	$36.31	$50.12	$77.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $29.51 / $45.71	Professional	TC	$20.89	$29.51	$45.71