Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $218.78	Professional		$81.28	$114.82	$218.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $45.71 / $79.43	Professional	26	$28.18	$45.71	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $72.44 / $138.04	Professional	TC	$53.70	$72.44	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $346.74	Professional		$64.57	$64.57	$346.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $25.70 / $120.23	Professional	26	$18.62	$25.70	$120.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $38.90 / $38.90	Professional	TC	$38.90	$38.90	$38.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $104.71 / $213.80	Professional		$53.70	$104.71	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $45.71 / $102.33	Professional	26	$19.05	$45.71	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $64.57 / $131.83	Professional	TC	$33.88	$64.57	$131.83
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 $69.18 / $128.82 / $218.78	Professional		$69.18	$128.82	$218.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $48.98 / $107.15	Professional	26	$32.36	$48.98	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $79.43 / $134.90	Professional	TC	$39.81	$79.43	$134.90