Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.92 / $72.11 / $133.08	Professional		$51.92	$72.11	$133.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.32 / $26.34 / $48.61	Professional	26	$19.32	$26.34	$48.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.59 / $45.77 / $84.47	Professional	TC	$32.59	$45.77	$84.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.23 / $14.23 / $14.23	Professional	26	$14.23	$14.23	$14.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.48 / $92.48 / $92.48	Professional		$92.48	$92.48	$92.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $55.78 / $109.10	Professional		$30.99	$55.78	$109.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.62 / $27.53 / $50.06	Professional	26	$11.62	$27.53	$50.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $33.26 / $63.47	Professional	TC	$18.48	$33.26	$63.47
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 $35.32 / $69.65 / $125.45	Professional		$35.32	$69.65	$125.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.10 / $26.35 / $57.88	Professional	26	$15.10	$26.35	$57.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.36 / $43.30 / $82.70	Professional	TC	$20.36	$43.30	$82.70