Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $66.38 / $122.50	Professional		$48.90	$66.38	$122.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.98 / $28.62 / $52.82	Professional	26	$20.98	$28.62	$52.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.92 / $62.81 / $69.68	Professional	TC	$27.92	$62.81	$69.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.61 / $15.61 / $15.61	Professional	26	$15.61	$15.61	$15.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $92.85 / $92.85	Professional		$92.85	$92.85	$92.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $60.05 / $115.81	Professional		$31.15	$60.05	$115.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.84 / $30.59 / $55.62	Professional	26	$12.84	$30.59	$55.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.23 / $34.79 / $65.14	Professional	TC	$17.23	$34.79	$65.14
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 $40.35 / $76.62 / $118.41	Professional		$40.35	$76.62	$118.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.17 / $29.23 / $59.74	Professional	26	$17.17	$29.23	$59.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.12 / $41.66 / $73.89	Professional	TC	$23.12	$41.66	$73.89