Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $162.18	Professional		$63.10	$93.33	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $67.61 / $107.15	Professional	26	$40.74	$67.61	$107.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.20 / $52.48	Professional	TC	$21.88	$30.20	$52.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $29.51 / $173.78	Professional	26	$29.51	$29.51	$173.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $14.45 / $14.45	Professional	TC	$14.45	$14.45	$14.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $87.10 / $165.96	Professional		$41.69	$87.10	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $64.57 / $123.03	Professional	26	$28.18	$64.57	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $25.12 / $51.29	Professional	TC	$13.18	$25.12	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $169.82	Professional		$56.23	$95.50	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $64.57 / $128.82	Professional	26	$38.02	$64.57	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $29.51 / $53.70	Professional	TC	$15.85	$29.51	$53.70