Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $47.86 / $51.29	Facility	26	$47.86	$47.86	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $371.54	Professional		$85.11	$131.83	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $52.48 / $120.23	Professional	26	$40.74	$52.48	$120.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $53.70 / $89.13	Professional	TC	$42.66	$53.70	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $128.82	Professional		$79.43	$95.50	$128.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $44.67 / $58.88	Professional	26	$38.02	$44.67	$58.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $177.83 / $213.80	Professional	50	$144.54	$177.83	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $173.78	Professional		$89.13	$128.82	$173.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $63.10 / $89.13	Professional	26	$43.65	$63.10	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $61.66 / $83.18	Professional	TC	$43.65	$61.66	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $36.31	Professional		$32.36	$33.11	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $154.88	Professional		$83.18	$104.71	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $54.95 / $79.43	Professional	26	$41.69	$54.95	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $52.48 / $75.86	Professional	TC	$38.90	$52.48	$75.86