Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $86.24 / $86.24 / $86.24	Facility	TC	$86.24	$86.24	$86.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $102.80 / $189.71	Professional		$76.98	$102.80	$189.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.34 / $107.14 / $118.85	Professional	26	$47.34	$107.14	$118.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.64 / $38.65 / $70.86	Professional	TC	$29.64	$38.65	$70.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $55.53 / $284.29	Professional		$55.53	$55.53	$284.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.73 / $34.53 / $176.80	Professional	26	$27.73	$34.53	$176.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.75 / $135.75 / $135.75	Professional		$135.75	$135.75	$135.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $82.53 / $167.58	Professional		$45.85	$82.53	$167.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.53 / $68.04 / $123.72	Professional	26	$28.53	$68.04	$123.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.92 / $28.11 / $53.32	Professional	TC	$14.92	$28.11	$53.32
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 $56.12 / $100.33 / $199.33	Professional		$56.12	$100.33	$199.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.22 / $65.31 / $138.38	Professional	26	$37.22	$65.31	$138.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $35.08 / $74.59	Professional	TC	$17.89	$35.08	$74.59