Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $64.57 / $120.23	Facility	26	$60.26	$64.57	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $204.17	Professional		$93.33	$109.65	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $64.57 / $114.82	Professional	26	$56.23	$64.57	$114.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $42.66 / $79.43	Professional	TC	$30.20	$42.66	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $138.04	Professional		$83.18	$123.03	$138.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $74.13 / $138.04	Professional	26	$60.26	$74.13	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $165.96	Professional		$95.50	$131.83	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $89.13 / $141.25	Professional	26	$67.61	$89.13	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $42.66 / $58.88	Professional	TC	$31.62	$42.66	$58.88
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 $81.28 / $107.15 / $169.82	Professional		$81.28	$107.15	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $74.13 / $114.82	Professional	26	$53.70	$74.13	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $34.67 / $53.70	Professional	TC	$27.54	$34.67	$53.70