Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.34 / $46.49 / $102.10	Facility	26	$42.34	$46.49	$102.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $138.86 / $304.92	Professional		$109.45	$138.86	$304.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $46.49 / $102.10	Professional	26	$29.91	$46.49	$102.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.54 / $99.05 / $202.83	Professional	TC	$79.54	$99.05	$202.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.83 / $44.83 / $112.08	Professional	26	$35.83	$44.83	$112.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $224.00 / $224.00	Professional		$224.00	$224.00	$224.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.61 / $194.26 / $290.30	Professional		$124.61	$194.26	$290.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.63 / $54.13 / $70.30	Professional	26	$33.63	$54.13	$70.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.45 / $143.61 / $214.04	Professional	TC	$84.45	$143.61	$214.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $116.47	Professional		$32.34	$32.34	$116.47
United Facility/Professional Professional Modifier Low / Median / High Price $113.58 / $156.63 / $261.72	Professional		$113.58	$156.63	$261.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.36 / $50.40 / $74.27	Professional	26	$27.36	$50.40	$74.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.11 / $106.25 / $190.08	Professional	TC	$80.11	$106.25	$190.08