Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $95.50 / $97.72	Facility	26	$53.70	$95.50	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $323.59	Professional		$128.82	$173.78	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $54.95 / $114.82	Professional	26	$44.67	$54.95	$114.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $109.65 / $229.09	Professional	TC	$81.28	$109.65	$229.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $43.65 / $70.79	Professional	26	$42.66	$43.65	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $223.87 / $354.81	Professional		$109.65	$223.87	$354.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $72.44 / $95.50	Professional	26	$33.88	$72.44	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $144.54 / $239.88	Professional	TC	$72.44	$144.54	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $66.07	Professional		$32.36	$33.11	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $338.84	Professional		$123.03	$162.18	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $53.70 / $93.33	Professional	26	$39.81	$53.70	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $104.71 / $245.47	Professional	TC	$81.28	$104.71	$245.47