Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.01 / $117.33 / $215.15	Professional		$86.01	$117.33	$215.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.94 / $91.33 / $168.54	Professional	26	$66.94	$91.33	$168.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $42.02 / $46.61	Professional	TC	$19.07	$42.02	$46.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Professional	26	$199.53	$199.53	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.85 / $171.85 / $171.85	Professional		$171.85	$171.85	$171.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $120.84 / $255.73	Professional		$54.44	$120.84	$255.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.01 / $95.83 / $173.03	Professional	26	$41.01	$95.83	$173.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.61 / $25.50 / $94.43	Professional	TC	$12.61	$25.50	$94.43
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 $78.08 / $129.41 / $274.64	Professional		$78.08	$129.41	$274.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.91 / $90.95 / $198.88	Professional	26	$51.91	$90.95	$198.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.36 / $31.88 / $69.63	Professional	TC	$21.36	$31.88	$69.63