Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $114.64 / $211.56	Professional		$79.48	$114.64	$211.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.30 / $30.41 / $56.12	Professional	26	$22.30	$30.41	$56.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.18 / $140.13 / $155.44	Professional	TC	$57.18	$140.13	$155.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.88 / $64.88 / $64.88	Professional	26	$64.88	$64.88	$64.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $117.35 / $117.35	Professional		$117.35	$117.35	$117.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $58.71 / $128.13	Professional		$35.57	$58.71	$128.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.36 / $31.78 / $55.24	Professional	26	$13.36	$31.78	$55.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $49.10 / $76.38	Professional	TC	$20.89	$49.10	$76.38
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 $50.07 / $97.70 / $160.12	Professional		$50.07	$97.70	$160.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.23 / $30.32 / $60.98	Professional	26	$17.23	$30.32	$60.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.73 / $63.87 / $114.67	Professional	TC	$23.73	$63.87	$114.67