Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $93.33 / $93.33	Facility	26	$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $295.12	Professional		$95.50	$134.90	$295.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $39.81 / $147.91	Professional	26	$25.70	$39.81	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $100.00 / $229.09	Professional	TC	$64.57	$100.00	$229.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $16.22 / $30.90	Professional	26	$16.22	$16.22	$30.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $125.89 / $223.87	Professional		$38.02	$125.89	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $77.62 / $234.42	Professional		$46.77	$77.62	$234.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $25.12 / $61.66	Professional	26	$16.60	$25.12	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $58.88 / $177.83	Professional	TC	$30.90	$58.88	$177.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $389.05	Professional		$131.83	$194.98	$389.05
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $60.26 / $173.78	Professional	26	$36.31	$60.26	$173.78
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $138.04 / $302.00	Professional	TC	$61.66	$138.04	$302.00
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 $79.43 / $109.65 / $190.55	Professional		$79.43	$109.65	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $39.81 / $58.88	Professional	26	$22.91	$39.81	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $69.18 / $131.83	Professional	TC	$56.23	$69.18	$131.83