Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.60 / $51.86 / $87.30	Facility	26	$47.60	$51.86	$87.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $103.40 / $267.26	Professional		$84.89	$103.40	$267.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.20 / $50.34 / $87.30	Professional	26	$43.20	$50.34	$87.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.17 / $55.80 / $97.12	Professional	TC	$40.17	$55.80	$97.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $105.73 / $125.55	Professional		$75.52	$105.73	$125.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.30 / $54.29 / $101.73	Professional	26	$47.30	$54.29	$101.73
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $175.62 / $175.62 / $175.62	Professional	50	$175.62	$175.62	$175.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $114.00 / $114.00	Professional		$114.00	$114.00	$114.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.34 / $124.69 / $158.78	Professional		$87.34	$124.69	$158.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.00 / $66.86 / $84.37	Professional	26	$42.00	$66.86	$84.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.64 / $56.12 / $76.52	Professional	TC	$42.64	$56.12	$76.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $73.08	Professional		$32.34	$32.34	$73.08
United Facility/Professional Professional Modifier Low / Median / High Price $83.64 / $99.05 / $162.81	Professional		$83.64	$99.05	$162.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.56 / $55.37 / $88.20	Professional	26	$42.56	$55.37	$88.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.09 / $51.97 / $81.31	Professional	TC	$40.09	$51.97	$81.31