Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.96 / $44.04 / $47.06	Facility	26	$27.96	$44.04	$47.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.33 / $200.68 / $283.20	Professional		$162.33	$200.68	$283.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.06 / $27.96 / $47.06	Professional	26	$22.06	$27.96	$47.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $129.87 / $169.63 / $240.60	Professional	TC	$129.87	$169.63	$240.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.02 / $155.02 / $155.02	Professional		$155.02	$155.02	$155.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.12 / $24.14 / $25.00	Professional	26	$17.12	$24.14	$25.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $220.00	Professional		$220.00	$220.00	$220.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.56 / $212.21 / $297.52	Professional		$144.56	$212.21	$297.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.58 / $33.01 / $40.61	Professional	26	$22.58	$33.01	$40.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $122.54 / $181.29 / $261.35	Professional	TC	$122.54	$181.29	$261.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $102.87	Professional		$32.34	$32.34	$102.87
United Facility/Professional Professional Modifier Low / Median / High Price $139.16 / $200.17 / $286.69	Professional		$139.16	$200.17	$286.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.56 / $28.54 / $42.99	Professional	26	$21.56	$28.54	$42.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.25 / $166.82 / $261.12	Professional	TC	$120.25	$166.82	$261.12