Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $467.74	Professional		$151.36	$194.98	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $100.00 / $117.49	Professional	26	$85.11	$100.00	$117.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $89.13 / $162.18	Professional	TC	$74.13	$89.13	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $281.84	Professional		$190.55	$229.09	$281.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $117.49 / $169.82	Professional	26	$109.65	$117.49	$169.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $109.65 / $117.49	Professional	TC	$77.62	$109.65	$117.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $389.05	Professional		$107.15	$134.90	$389.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $72.44 / $239.88	Professional	26	$63.10	$72.44	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $64.57 / $151.36	Professional	TC	$46.77	$64.57	$151.36
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 $134.90 / $223.87 / $645.65	Professional		$134.90	$223.87	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $123.03 / $346.74	Professional	26	$72.44	$123.03	$346.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $95.50 / $302.00	Professional	TC	$58.88	$95.50	$302.00