Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $43.65 / $66.07	Facility	26	$39.81	$43.65	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $436.52	Professional		$169.82	$229.09	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $39.81 / $79.43	Professional	26	$34.67	$39.81	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $177.83 / $309.03	Professional	TC	$144.54	$177.83	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $229.09	Professional		$117.49	$154.88	$229.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $37.15 / $54.95	Professional	26	$28.18	$37.15	$54.95
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $131.83 / $162.18	Professional	TC	$117.49	$131.83	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $371.54	Professional		$169.82	$251.19	$371.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $42.66 / $64.57	Professional	26	$34.67	$42.66	$64.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $199.53 / $323.59	Professional	TC	$134.90	$199.53	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $112.20	Professional		$32.36	$33.11	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $346.74	Professional		$165.96	$223.87	$346.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $39.81 / $61.66	Professional	26	$32.36	$39.81	$61.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $181.97 / $295.12	Professional	TC	$134.90	$181.97	$295.12