Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.43 / $51.43 / $86.57	Facility	26	$51.43	$51.43	$86.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.46 / $148.08 / $230.07	Professional		$119.46	$148.08	$230.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.73 / $47.98 / $86.57	Professional	26	$42.73	$47.98	$86.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $76.73 / $93.74 / $143.50	Professional	TC	$76.73	$93.74	$143.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.35 / $94.35 / $94.35	Professional		$94.35	$94.35	$94.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $100.75 / $100.75 / $100.75	Professional	26	$100.75	$100.75	$100.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.00 / $347.00 / $347.00	Professional		$347.00	$347.00	$347.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.26 / $168.80 / $279.36	Professional		$117.26	$168.80	$279.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.72 / $63.06 / $94.31	Professional	26	$41.72	$63.06	$94.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.87 / $100.60 / $175.03	Professional	TC	$72.87	$100.60	$175.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $91.31	Professional		$32.34	$32.34	$91.31
United Facility/Professional Professional Modifier Low / Median / High Price $116.40 / $156.78 / $230.30	Professional		$116.40	$156.78	$230.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.98 / $51.29 / $85.57	Professional	26	$41.98	$51.29	$85.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.79 / $94.86 / $142.18	Professional	TC	$69.79	$94.86	$142.18