Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.52 / $64.98 / $121.62	Facility	26	$60.52	$64.98	$121.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $103.08 / $207.15	Professional		$93.19	$103.08	$207.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.25 / $69.17 / $121.62	Professional	26	$56.25	$69.17	$121.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.51 / $42.54 / $85.53	Professional	TC	$30.51	$42.54	$85.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.63 / $119.57 / $202.03	Professional		$101.63	$119.57	$202.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.79 / $71.52 / $137.33	Professional	26	$60.79	$71.52	$137.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.00 / $123.00	Professional		$123.00	$123.00	$123.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.07 / $138.87 / $185.00	Professional		$95.07	$138.87	$185.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.95 / $93.64 / $141.87	Professional	26	$66.95	$93.64	$141.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.29 / $43.57 / $59.08	Professional	TC	$31.29	$43.57	$59.08
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 $81.13 / $107.08 / $160.97	Professional		$81.13	$107.08	$160.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.63 / $72.56 / $112.61	Professional	26	$54.63	$72.56	$112.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.90 / $34.33 / $54.25	Professional	TC	$27.90	$34.33	$54.25