Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $44.67 / $44.67	Facility	26	$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $120.23	Professional		$75.86	$87.10	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $44.67 / $61.66	Professional	26	$38.90	$44.67	$61.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $41.69 / $58.88	Professional	TC	$33.11	$41.69	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $100.00	Professional		$64.57	$79.43	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $120.23	Professional		$77.62	$89.13	$120.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $56.23 / $83.18	Professional	26	$42.66	$56.23	$83.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $42.66 / $53.70	Professional	TC	$16.98	$42.66	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $151.36	Professional		$64.57	$93.33	$151.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $58.88 / $87.10	Professional	26	$45.71	$58.88	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $44.67 / $74.13	Professional	TC	$15.49	$44.67	$74.13
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 $66.07 / $83.18 / $141.25	Professional		$66.07	$83.18	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $47.86 / $77.62	Professional	26	$39.81	$47.86	$77.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $38.90 / $63.10	Professional	TC	$25.12	$38.90	$63.10