Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.39 / $94.65 / $104.99	Professional		$42.39	$94.65	$104.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.86 / $38.94 / $71.87	Professional	26	$28.86	$38.94	$71.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.52 / $29.86 / $33.11	Professional	TC	$13.52	$29.86	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $129.00 / $129.00	Professional		$129.00	$129.00	$129.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $107.23 / $107.23 / $107.23	Professional	26	$107.23	$107.23	$107.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.93 / $68.93 / $68.93	Professional		$68.93	$68.93	$68.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $53.70 / $99.51	Professional		$25.61	$53.70	$99.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.29 / $39.76 / $75.31	Professional	26	$17.29	$39.76	$75.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.86 / $16.98 / $30.89	Professional	TC	$7.86	$16.98	$30.89
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 $31.90 / $57.74 / $119.48	Professional		$31.90	$57.74	$119.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.04 / $39.70 / $81.75	Professional	26	$23.04	$39.70	$81.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.82 / $19.84 / $37.72	Professional	TC	$10.82	$19.84	$37.72