Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.87 / $45.47 / $48.60	Facility	26	$28.87	$45.47	$48.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.65 / $141.32 / $237.89	Professional		$101.65	$141.32	$237.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.36 / $32.06 / $48.60	Professional	26	$23.36	$32.06	$48.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.04 / $112.45 / $189.29	Professional	TC	$69.04	$112.45	$189.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.75 / $19.75 / $19.75	Professional	26	$19.75	$19.75	$19.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $231.00 / $231.00	Professional		$231.00	$231.00	$231.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.99 / $215.32 / $287.10	Professional		$138.99	$215.32	$287.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.31 / $37.75 / $50.33	Professional	26	$24.31	$37.75	$50.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.16 / $177.58 / $236.77	Professional	TC	$114.16	$177.58	$236.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $101.89	Professional		$32.34	$32.34	$101.89
United Facility/Professional Professional Modifier Low / Median / High Price $132.52 / $187.18 / $284.02	Professional		$132.52	$187.18	$284.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.56 / $34.82 / $49.78	Professional	26	$23.56	$34.82	$49.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $108.54 / $167.14 / $234.24	Professional	TC	$108.54	$167.14	$234.24