Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.00 / $27.89 / $46.95	Facility	26	$25.00	$27.89	$46.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.53 / $180.90 / $226.23	Professional		$120.53	$180.90	$226.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.63 / $27.89 / $46.95	Professional	26	$20.63	$27.89	$46.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.18 / $162.12 / $191.71	Professional	TC	$98.18	$162.12	$191.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.82 / $16.89 / $53.18	Professional	26	$16.82	$16.89	$53.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $230.00 / $230.00	Professional		$230.00	$230.00	$230.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.85 / $164.57 / $231.11	Professional		$112.85	$164.57	$231.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.02 / $28.30 / $36.22	Professional	26	$22.02	$28.30	$36.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.89 / $134.94 / $197.76	Professional	TC	$90.89	$134.94	$197.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $76.28	Professional		$32.34	$32.34	$76.28
United Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $165.31 / $225.24	Professional		$109.08	$165.31	$225.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.67 / $25.98 / $41.50	Professional	26	$21.67	$25.98	$41.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.47 / $126.46 / $194.39	Professional	TC	$87.47	$126.46	$194.39