Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.25 / $43.46 / $55.44	Facility	26	$25.25	$43.46	$55.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $115.07 / $252.68	Professional		$97.57	$115.07	$252.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.95 / $26.28 / $55.44	Professional	26	$22.95	$26.28	$55.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.93 / $89.82 / $197.24	Professional	TC	$73.93	$89.82	$197.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.52 / $42.16 / $48.23	Professional	26	$26.52	$42.16	$48.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $154.00 / $154.00	Professional		$154.00	$154.00	$154.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.94 / $145.90 / $202.04	Professional		$89.94	$145.90	$202.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.57 / $41.09 / $53.88	Professional	26	$22.57	$41.09	$53.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.01 / $108.92 / $148.69	Professional	TC	$64.01	$108.92	$148.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $32.34 / $98.47	Professional		$22.11	$32.34	$98.47
United Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $122.27 / $219.79	Professional		$80.95	$122.27	$219.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.02 / $30.97 / $56.13	Professional	26	$22.02	$30.97	$56.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.35 / $91.58 / $160.12	Professional	TC	$61.35	$91.58	$160.12