Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.29 / $44.13 / $74.28	Facility	26	$40.29	$44.13	$74.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.21 / $219.03 / $281.83	Professional		$145.21	$219.03	$281.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.42 / $56.89 / $94.74	Professional	26	$35.42	$56.89	$94.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $104.90 / $162.12 / $195.38	Professional	TC	$104.90	$162.12	$195.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.99 / $133.99 / $133.99	Professional		$133.99	$133.99	$133.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.84 / $29.76 / $67.52	Professional	26	$20.84	$29.76	$67.52
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $83.43 / $83.43 / $83.43	Professional	TC	$83.43	$83.43	$83.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.00 / $286.00 / $286.00	Professional		$286.00	$286.00	$286.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.63 / $225.90 / $293.79	Professional		$144.63	$225.90	$293.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.84 / $58.64 / $94.74	Professional	26	$35.84	$58.64	$94.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $108.87 / $162.29 / $216.38	Professional	TC	$108.87	$162.29	$216.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $91.34	Professional		$32.34	$32.34	$91.34
United Facility/Professional Professional Modifier Low / Median / High Price $142.34 / $210.58 / $300.20	Professional		$142.34	$210.58	$300.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.84 / $58.64 / $85.92	Professional	26	$34.84	$58.64	$85.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.68 / $152.74 / $217.00	Professional	TC	$107.68	$152.74	$217.00