Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.00 / $44.54 / $74.98	Facility	26	$40.00	$44.54	$74.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.32 / $215.00 / $346.67	Professional		$165.32	$215.00	$346.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.53 / $40.00 / $72.08	Professional	26	$31.53	$40.00	$72.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.69 / $191.38 / $274.76	Professional	TC	$158.69	$191.38	$274.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.69 / $158.47 / $177.48	Professional		$134.69	$158.47	$177.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.44 / $34.53 / $65.89	Professional	26	$27.44	$34.53	$65.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $99.15 / $99.15 / $117.99	Professional	TC	$99.15	$99.15	$117.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.00 / $262.00 / $262.00	Professional		$262.00	$262.00	$262.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.30 / $254.51 / $362.54	Professional		$172.30	$254.51	$362.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.53 / $43.04 / $58.56	Professional	26	$35.53	$43.04	$58.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $136.93 / $208.63 / $288.60	Professional	TC	$136.93	$208.63	$288.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $114.92	Professional		$32.34	$32.34	$114.92
United Facility/Professional Professional Modifier Low / Median / High Price $168.95 / $250.49 / $351.05	Professional		$168.95	$250.49	$351.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.71 / $40.78 / $66.66	Professional	26	$32.71	$40.78	$66.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.35 / $199.75 / $288.00	Professional	TC	$138.35	$199.75	$288.00