Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.75 / $59.53 / $112.05	Facility	26	$55.75	$59.53	$112.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.63 / $99.39 / $192.15	Professional		$83.63	$99.39	$192.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.81 / $62.40 / $108.41	Professional	26	$45.81	$62.40	$108.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.90 / $39.85 / $80.09	Professional	TC	$26.90	$39.85	$80.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $106.28 / $187.04	Professional		$79.06	$106.28	$187.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.00 / $65.87 / $126.48	Professional	26	$27.00	$65.87	$126.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $111.00 / $111.00	Professional		$111.00	$111.00	$111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $121.51 / $157.66	Professional		$88.06	$121.51	$157.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.21 / $82.90 / $111.00	Professional	26	$59.21	$82.90	$111.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.67 / $37.60 / $55.19	Professional	TC	$28.67	$37.60	$55.19
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 $76.30 / $95.22 / $148.78	Professional		$76.30	$95.22	$148.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.09 / $66.42 / $104.80	Professional	26	$50.09	$66.42	$104.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.65 / $33.45 / $50.28	Professional	TC	$24.65	$33.45	$50.28