Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.76 / $148.56 / $274.14	Professional		$104.76	$148.56	$274.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.66 / $37.72 / $69.61	Professional	26	$27.66	$37.72	$69.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.09 / $184.39 / $204.54	Professional	TC	$77.09	$184.39	$204.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.45 / $80.45 / $80.45	Professional	26	$80.45	$80.45	$80.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.32 / $153.32 / $153.32	Professional		$153.32	$153.32	$153.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $102.22 / $174.12	Professional		$54.78	$102.22	$174.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.73 / $39.44 / $78.34	Professional	26	$16.73	$39.44	$78.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.86 / $66.30 / $108.82	Professional	TC	$38.86	$66.30	$108.82
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 $61.68 / $128.47 / $218.42	Professional		$61.68	$128.47	$218.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $41.15 / $89.63	Professional	26	$22.52	$41.15	$89.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.58 / $74.94 / $180.95	Professional	TC	$35.58	$74.94	$180.95