Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.99 / $39.29 / $66.15	Facility	26	$35.99	$39.29	$66.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $105.09 / $194.34	Professional		$64.31	$105.09	$194.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.26 / $35.99 / $66.15	Professional	26	$31.26	$35.99	$66.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $69.09 / $128.19	Professional	TC	$33.03	$69.09	$128.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $80.70 / $80.70	Professional		$80.70	$80.70	$80.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.88 / $41.62 / $77.18	Professional	26	$35.88	$41.62	$77.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $127.00 / $127.00	Professional		$127.00	$127.00	$127.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.77 / $104.11 / $141.28	Professional		$68.77	$104.11	$141.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.02 / $47.04 / $62.73	Professional	26	$32.02	$47.04	$62.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.75 / $62.81 / $82.35	Professional	TC	$24.75	$62.81	$82.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $78.09	Professional		$32.34	$32.34	$78.09
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $86.40 / $147.91	Professional		$66.56	$86.40	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.61 / $41.15 / $63.00	Professional	26	$31.61	$41.15	$63.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.49 / $51.47 / $89.49	Professional	TC	$22.49	$51.47	$89.49