Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.63 / $68.72 / $73.44	Facility	26	$43.63	$68.72	$73.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.05 / $299.41 / $451.43	Professional		$248.05	$299.41	$451.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.10 / $43.63 / $78.53	Professional	26	$36.10	$43.63	$78.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $212.83 / $258.50 / $377.99	Professional	TC	$212.83	$258.50	$377.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.59 / $40.24 / $46.68	Professional	26	$33.59	$40.24	$46.68
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $229.00 / $229.00 / $229.00	Professional	TC	$229.00	$229.00	$229.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $320.00 / $320.00	Professional		$320.00	$320.00	$320.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.64 / $317.45 / $400.06	Professional		$224.64	$317.45	$400.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.64 / $48.91 / $62.99	Professional	26	$34.64	$48.91	$62.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $188.97 / $261.73 / $343.35	Professional	TC	$188.97	$261.73	$343.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $225.55 / $281.14 / $417.47	Professional		$225.55	$281.14	$417.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.75 / $44.77 / $71.01	Professional	26	$33.75	$44.77	$71.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.60 / $253.59 / $352.46	Professional	TC	$192.60	$253.59	$352.46