Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $30.20 / $38.90	Facility	26	$25.70	$30.20	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $660.69	Professional		$93.33	$147.91	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $38.02 / $144.54	Professional	26	$22.91	$38.02	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $87.10 / $144.54	Professional	TC	$69.18	$87.10	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $173.78	Professional		$72.44	$95.50	$173.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $26.30 / $43.65	Professional	26	$19.50	$26.30	$43.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $218.78	Professional		$97.72	$141.25	$218.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $48.98 / $75.86	Professional	26	$25.12	$48.98	$75.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $87.10 / $144.54	Professional	TC	$74.13	$87.10	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $208.93	Professional		$102.33	$134.90	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $35.48 / $54.95	Professional	26	$26.92	$35.48	$54.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $100.00 / $158.49	Professional	TC	$75.86	$100.00	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $181.97	Professional		$85.11	$107.15	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $28.18 / $50.12	Professional	26	$22.39	$28.18	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $79.43 / $131.83	Professional	TC	$63.10	$79.43	$131.83