Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.73 / $30.40 / $66.75	Facility	26	$27.73	$30.40	$66.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.56 / $148.66 / $265.85	Professional		$115.56	$148.66	$265.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.77 / $42.89 / $76.43	Professional	26	$27.77	$42.89	$76.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.63 / $109.52 / $199.10	Professional	TC	$84.63	$109.52	$199.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $140.69 / $192.11	Professional		$132.41	$140.69	$192.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.71 / $33.27 / $74.28	Professional	26	$29.71	$33.27	$74.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $148.00 / $148.00	Professional		$148.00	$148.00	$148.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.67 / $174.23 / $254.47	Professional		$113.67	$174.23	$254.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.68 / $45.77 / $66.91	Professional	26	$27.68	$45.77	$66.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.29 / $136.15 / $187.56	Professional	TC	$71.29	$136.15	$187.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $127.50	Professional		$32.34	$32.34	$127.50
United Facility/Professional Professional Modifier Low / Median / High Price $98.46 / $143.88 / $230.61	Professional		$98.46	$143.88	$230.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.61 / $37.27 / $68.20	Professional	26	$27.61	$37.27	$68.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.91 / $119.31 / $175.82	Professional	TC	$74.91	$119.31	$175.82