Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $87.10 / $151.36	Facility	26	$87.10	$87.10	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $138.04 / $288.40	Professional		$120.23	$138.04	$288.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $50.12 / $97.72	Professional	TC	$41.69	$50.12	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $213.80 / $309.03	Professional		$123.03	$213.80	$309.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $69.18 / $114.82	Professional	TC	$42.66	$69.18	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $354.81	Professional		$120.23	$162.18	$354.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $53.70 / $147.91	Professional	TC	$40.74	$53.70	$147.91