Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.34 / $174.08 / $218.59	Professional		$90.34	$174.08	$218.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.17 / $72.38 / $80.30	Professional	26	$32.17	$72.38	$80.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.16 / $110.99 / $138.29	Professional	TC	$58.16	$110.99	$138.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $327.68 / $327.68 / $327.68	Professional		$327.68	$327.68	$327.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.77 / $23.20 / $118.75	Professional	26	$20.77	$23.20	$118.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $148.41 / $148.41	Professional		$148.41	$148.41	$148.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.26 / $105.79 / $214.03	Professional		$53.26	$105.79	$214.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.30 / $46.18 / $101.23	Professional	26	$19.30	$46.18	$101.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.15 / $64.12 / $132.22	Professional	TC	$34.15	$64.12	$132.22
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 $69.30 / $140.13 / $216.58	Professional		$69.30	$140.13	$216.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.42 / $47.48 / $118.40	Professional	26	$26.42	$47.48	$118.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.67 / $77.81 / $133.38	Professional	TC	$39.67	$77.81	$133.38