Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $30.90 / $57.54	Facility	26	$30.90	$30.90	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $288.40	Professional		$123.03	$154.88	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $36.31 / $75.86	Professional	26	$30.20	$36.31	$75.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $117.49 / $223.87	Professional	TC	$93.33	$117.49	$223.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $81.28 / $83.18	Professional	26	$33.11	$81.28	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $186.21 / $288.40	Professional		$107.15	$186.21	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $50.12 / $72.44	Professional	26	$26.92	$50.12	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $138.04 / $218.78	Professional	TC	$77.62	$138.04	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $81.28	Professional		$32.36	$33.11	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $223.87	Professional		$112.20	$154.88	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $38.90 / $67.61	Professional	26	$31.62	$38.90	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $114.82 / $165.96	Professional	TC	$81.28	$114.82	$165.96