Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.80 / $404.89 / $976.50	Facility		$130.80	$404.89	$976.50
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.94 / $25.25 / $55.44	Facility	26	$22.94	$25.25	$55.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $97.07 / $222.27	Professional		$67.84	$97.07	$222.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.78 / $25.28 / $55.44	Professional	26	$23.78	$25.28	$55.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.04 / $70.55 / $134.38	Professional	TC	$44.04	$70.55	$134.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.70 / $60.70 / $60.70	Professional	26	$60.70	$60.70	$60.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $111.00 / $111.00	Professional		$111.00	$111.00	$111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.23 / $120.68 / $154.56	Professional		$83.23	$120.68	$154.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.57 / $36.31 / $53.44	Professional	26	$22.57	$36.31	$53.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.21 / $87.12 / $116.18	Professional	TC	$56.21	$87.12	$116.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $59.60 / $110.07 / $144.99	Professional		$59.60	$110.07	$144.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.76 / $31.68 / $54.05	Professional	26	$21.76	$31.68	$54.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.54 / $77.48 / $97.87	Professional	TC	$37.54	$77.48	$97.87