Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.22 / $58.22 / $58.22	Facility	26	$58.22	$58.22	$58.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $64.72 / $115.63	Professional		$47.46	$64.72	$115.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.18 / $21.45 / $42.79	Professional	26	$19.18	$21.45	$42.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.60 / $43.28 / $72.78	Professional	TC	$26.60	$43.28	$72.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.44 / $12.44 / $22.39	Professional	26	$12.44	$12.44	$22.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $76.91 / $129.79	Professional		$27.59	$76.91	$129.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $41.72 / $130.16	Professional		$30.46	$41.72	$130.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.85 / $13.66 / $39.81	Professional	26	$11.85	$13.66	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.93 / $29.28 / $93.36	Professional	TC	$15.93	$29.28	$93.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $112.04 / $166.86	Professional		$77.14	$112.04	$166.86
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.44 / $40.31 / $89.58	Professional	26	$28.44	$40.31	$89.58
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $22.49 / $70.11 / $117.10	Professional	TC	$22.49	$70.11	$117.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $33.84 / $122.64	Professional		$32.34	$33.84	$122.64
United Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $67.91 / $102.61	Professional		$45.27	$67.91	$102.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.73 / $26.41 / $45.08	Professional	26	$16.73	$26.41	$45.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.54 / $42.80 / $66.38	Professional	TC	$28.54	$42.80	$66.38