Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.80 / $27.40 / $46.13	Facility	26	$24.80	$27.40	$46.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $133.56 / $224.82	Professional		$116.76	$133.56	$224.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.93 / $27.40 / $46.13	Professional	26	$15.93	$27.40	$46.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.54 / $112.49 / $178.69	Professional	TC	$97.54	$112.49	$178.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.75 / $95.75 / $119.59	Professional		$95.75	$95.75	$119.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.87 / $21.03 / $39.81	Professional	26	$12.87	$21.03	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $215.00 / $215.00	Professional		$215.00	$215.00	$215.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.12 / $171.30 / $231.47	Professional		$112.12	$171.30	$231.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.68 / $24.15 / $47.24	Professional	26	$18.68	$24.15	$47.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.29 / $135.87 / $190.96	Professional	TC	$90.29	$135.87	$190.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $75.78	Professional		$32.34	$32.34	$75.78
United Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $166.04 / $225.95	Professional		$111.66	$166.04	$225.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.19 / $23.62 / $41.07	Professional	26	$17.19	$23.62	$41.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.89 / $122.35 / $190.96	Professional	TC	$84.89	$122.35	$190.96