Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.23 / $73.23 / $73.23	Facility		$73.23	$73.23	$73.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $68.78 / $116.44	Professional		$46.09	$68.78	$116.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.18 / $38.95 / $43.21	Professional	26	$17.18	$38.95	$43.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.90 / $45.93 / $73.23	Professional	TC	$28.90	$45.93	$73.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.26 / $13.50 / $49.98	Professional	26	$11.26	$13.50	$49.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.17 / $93.17 / $93.17	Professional		$93.17	$93.17	$93.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $61.72 / $125.61	Professional		$30.27	$61.72	$125.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.40 / $24.47 / $45.94	Professional	26	$10.40	$24.47	$45.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.63 / $37.25 / $73.84	Professional	TC	$18.63	$37.25	$73.84
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 $37.90 / $63.16 / $140.28	Professional		$37.90	$63.16	$140.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.56 / $28.43 / $55.63	Professional	26	$13.56	$28.43	$55.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $43.67 / $84.65	Professional	TC	$23.82	$43.67	$84.65