Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $44.67 / $83.18	Facility	26	$38.90	$44.67	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $549.54	Professional		$134.90	$199.53	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $61.66 / $177.83	Professional	26	$36.31	$61.66	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $128.82 / $251.19	Professional	TC	$97.72	$128.82	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $138.04	Professional		$109.65	$125.89	$138.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $35.48 / $67.61	Professional	26	$28.84	$35.48	$67.61
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $89.13 / $89.13	Professional	TC	$89.13	$89.13	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $316.23	Professional		$141.25	$213.80	$316.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $61.66 / $93.33	Professional	26	$37.15	$61.66	$93.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $144.54 / $213.80	Professional	TC	$102.33	$144.54	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $338.84	Professional		$158.49	$229.09	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $64.57 / $91.20	Professional	26	$38.90	$64.57	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $165.96 / $257.04	Professional	TC	$117.49	$165.96	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $331.13	Professional		$144.54	$199.53	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $54.95 / $93.33	Professional	26	$35.48	$54.95	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $141.25 / $239.88	Professional	TC	$109.65	$141.25	$239.88