Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.76 / $16.76 / $33.90	Facility	26	$16.76	$16.76	$33.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $73.63 / $114.83	Professional		$56.76	$73.63	$114.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.76 / $20.48 / $34.20	Professional	26	$16.76	$20.48	$34.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.00 / $59.30 / $80.92	Professional	TC	$40.00	$59.30	$80.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.89 / $23.62 / $27.40	Professional	26	$18.89	$23.62	$27.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $178.00 / $178.00	Professional		$178.00	$178.00	$178.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $67.55 / $67.55	Professional		$67.55	$67.55	$67.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $18.45 / $18.45	Professional	26	$18.45	$18.45	$18.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $49.10 / $49.10	Professional	TC	$49.10	$49.10	$49.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $84.24 / $244.07	Professional		$65.09	$84.24	$244.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.75 / $22.40 / $44.30	Professional	26	$16.75	$22.40	$44.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.46 / $64.48 / $161.96	Professional	TC	$47.46	$64.48	$161.96