Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $154.88	Professional		$63.10	$77.62	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $56.23 / $190.55	Professional	26	$45.71	$56.23	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $25.70 / $50.12	Professional	TC	$21.88	$25.70	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Professional	26	$64.57	$64.57	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $128.82	Professional		$75.86	$89.13	$128.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $60.26 / $125.89	Professional	26	$56.23	$60.26	$125.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $4.07 / $28.18 / $30.20	Professional	TC	$4.07	$28.18	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $44.67 / $125.89	Professional		$41.69	$44.67	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $31.62 / $95.50	Professional	26	$28.18	$31.62	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $14.13 / $33.88	Professional	TC	$10.23	$14.13	$33.88
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 $51.29 / $77.62 / $194.98	Professional		$51.29	$77.62	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $54.95 / $138.04	Professional	26	$34.67	$54.95	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $23.99 / $54.95	Professional	TC	$15.49	$23.99	$54.95