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 $112.20 / $131.83 / $194.98	Professional		$112.20	$131.83	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $44.67 / $91.20	Professional	26	$39.81	$44.67	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $83.18 / $134.90	Professional	TC	$70.79	$83.18	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $138.04	Professional		$89.13	$112.20	$138.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $54.95 / $54.95	Professional	26	$54.95	$54.95	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $199.53	Professional		$114.82	$128.82	$199.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $45.71 / $67.61	Professional	26	$42.66	$45.71	$67.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $85.11 / $141.25	Professional	TC	$72.44	$85.11	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $257.04	Professional		$104.71	$151.36	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $57.54 / $87.10	Professional	26	$46.77	$57.54	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $97.72 / $190.55	Professional	TC	$64.57	$97.72	$190.55
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 $104.71 / $131.83 / $234.42	Professional		$104.71	$131.83	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $48.98 / $77.62	Professional	26	$39.81	$48.98	$77.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $83.18 / $158.49	Professional	TC	$61.66	$83.18	$158.49