Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $18.62 / $28.18	Facility	26	$18.20	$18.62	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $275.42	Professional		$53.70	$70.79	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $22.91 / $89.13	Professional	26	$16.22	$22.91	$89.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $28.84 / $177.83 / $223.87	Professional	50	$28.84	$177.83	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $44.67 / $75.86	Professional	TC	$37.15	$44.67	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $63.10 / $109.65	Professional		$54.95	$63.10	$109.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.05 / $26.30	Professional	26	$15.85	$19.05	$26.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $63.10 / $95.50	Professional		$28.18	$63.10	$95.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $19.50 / $32.36	Professional	26	$17.78	$19.50	$32.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $45.71 / $66.07	Professional	TC	$42.66	$45.71	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $114.82	Professional		$58.88	$74.13	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $22.91 / $36.31	Professional	26	$18.62	$22.91	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $48.98 / $77.62	Professional	TC	$39.81	$48.98	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $100.00	Professional		$52.48	$63.10	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $19.95 / $33.11	Professional	26	$16.22	$19.95	$33.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $44.67 / $69.18	Professional	TC	$35.48	$44.67	$69.18