Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.04 / $58.61 / $74.76	Facility	26	$34.04	$58.61	$74.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.24 / $168.46 / $286.77	Professional		$125.24	$168.46	$286.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.98 / $38.01 / $74.76	Professional	26	$30.98	$38.01	$74.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.26 / $130.44 / $212.01	Professional	TC	$94.26	$130.44	$212.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.52 / $64.52 / $82.55	Professional	26	$64.52	$64.52	$82.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $219.00 / $219.00	Professional		$219.00	$219.00	$219.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.23 / $187.47 / $285.50	Professional		$107.23	$187.47	$285.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.57 / $49.97 / $72.59	Professional	26	$28.57	$49.97	$72.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.56 / $137.54 / $213.07	Professional	TC	$79.56	$137.54	$213.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $84.31	Professional		$32.34	$32.34	$84.31
United Facility/Professional Professional Modifier Low / Median / High Price $112.48 / $151.19 / $266.49	Professional		$112.48	$151.19	$266.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.29 / $42.21 / $70.89	Professional	26	$30.29	$42.21	$70.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.08 / $119.82 / $193.70	Professional	TC	$83.08	$119.82	$193.70