Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $58.88 / $112.20	Facility	26	$54.95	$58.88	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $190.55	Professional		$83.18	$109.65	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $61.66 / $112.20	Professional	26	$44.67	$61.66	$112.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $39.81 / $74.13	Professional	TC	$25.70	$39.81	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $120.23	Professional		$87.10	$107.15	$120.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $63.10 / $128.82	Professional	26	$26.92	$63.10	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $151.36	Professional		$87.10	$120.23	$151.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $81.28 / $109.65	Professional	26	$58.88	$81.28	$109.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $38.02 / $54.95	Professional	TC	$28.18	$38.02	$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 $75.86 / $95.50 / $147.91	Professional		$75.86	$95.50	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $66.07 / $104.71	Professional	26	$48.98	$66.07	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $32.36 / $50.12	Professional	TC	$24.55	$32.36	$50.12