Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $66.07 / $123.03	Professional		$43.65	$66.07	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $28.18 / $52.48	Professional	26	$18.20	$28.18	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $37.15 / $69.18	Professional	TC	$25.70	$37.15	$69.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $15.85 / $15.85	Professional	26	$15.85	$15.85	$15.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $60.26 / $114.82	Professional		$30.90	$60.26	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $30.90 / $56.23	Professional	26	$12.88	$30.90	$56.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $34.67 / $66.07	Professional	TC	$17.38	$34.67	$66.07
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 $40.74 / $70.79 / $123.03	Professional		$40.74	$70.79	$123.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $29.51 / $60.26	Professional	26	$16.98	$29.51	$60.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $40.74 / $79.43	Professional	TC	$22.91	$40.74	$79.43