Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.11 / $94.52 / $174.44	Professional		$71.11	$94.52	$174.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.37 / $106.71 / $118.37	Professional	26	$47.37	$106.71	$118.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.74 / $30.38 / $56.07	Professional	TC	$23.74	$30.38	$56.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.88 / $258.88 / $258.88	Professional		$258.88	$258.88	$258.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.99 / $30.99 / $176.06	Professional	26	$30.99	$30.99	$176.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $128.13 / $128.13	Professional		$128.13	$128.13	$128.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $86.37 / $164.82	Professional		$41.94	$86.37	$164.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.40 / $65.25 / $123.82	Professional	26	$28.40	$65.25	$123.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.16 / $25.01 / $50.71	Professional	TC	$13.16	$25.01	$50.71
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 $56.00 / $87.05 / $170.94	Professional		$56.00	$87.05	$170.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.76 / $71.84 / $154.78	Professional	26	$37.76	$71.84	$154.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $29.38 / $58.31	Professional	TC	$16.03	$29.38	$58.31