Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.32 / $50.07 / $83.60	Facility	26	$41.32	$50.07	$83.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.72 / $115.83 / $153.02	Professional		$73.72	$115.83	$153.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.96 / $47.77 / $83.60	Professional	26	$40.96	$47.77	$83.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.40 / $62.17 / $68.05	Professional	TC	$32.40	$62.17	$68.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.05 / $46.05 / $46.05	Professional	26	$46.05	$46.05	$46.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $221.00 / $221.00	Professional		$221.00	$221.00	$221.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.40 / $149.22 / $216.16	Professional		$78.40	$149.22	$216.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.53 / $73.16 / $91.81	Professional	26	$42.53	$73.16	$91.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.86 / $66.52 / $126.52	Professional	TC	$35.86	$66.52	$126.52
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 $79.66 / $105.97 / $288.98	Professional		$79.66	$105.97	$288.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.84 / $58.96 / $122.83	Professional	26	$42.84	$58.96	$122.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.86 / $49.24 / $135.84	Professional	TC	$37.86	$49.24	$135.84