Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.57 / $40.15 / $88.18	Facility	26	$36.57	$40.15	$88.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.14 / $133.60 / $276.73	Professional		$109.14	$133.60	$276.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $40.15 / $86.00	Professional	26	$29.91	$40.15	$86.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.23 / $98.67 / $188.55	Professional	TC	$79.23	$98.67	$188.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.27 / $38.92 / $75.92	Professional	26	$31.27	$38.92	$75.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $185.00 / $185.00	Professional		$185.00	$185.00	$185.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.01 / $174.22 / $239.89	Professional		$106.01	$174.22	$239.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.46 / $54.13 / $67.69	Professional	26	$33.46	$54.13	$67.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.61 / $120.09 / $173.60	Professional	TC	$76.61	$120.09	$173.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $105.20	Professional		$32.34	$32.34	$105.20
United Facility/Professional Professional Modifier Low / Median / High Price $91.39 / $141.54 / $237.97	Professional		$91.39	$141.54	$237.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.14 / $49.73 / $98.15	Professional	26	$29.14	$49.73	$98.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.13 / $94.56 / $160.75	Professional	TC	$67.13	$94.56	$160.75