Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $170.20 / $219.11	Professional		$90.14	$170.20	$219.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.70 / $66.23 / $84.95	Professional	26	$33.70	$66.23	$84.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.44 / $103.95 / $134.15	Professional	TC	$56.44	$103.95	$134.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.36 / $24.36 / $24.36	Professional	26	$24.36	$24.36	$24.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.29 / $212.29 / $212.29	Professional		$212.29	$212.29	$212.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.92 / $126.82 / $264.27	Professional		$54.92	$126.82	$264.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.38 / $49.13 / $109.42	Professional	26	$20.38	$49.13	$109.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.54 / $76.63 / $154.85	Professional	TC	$34.54	$76.63	$154.85
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 $80.81 / $137.07 / $296.08	Professional		$80.81	$137.07	$296.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.84 / $51.22 / $128.10	Professional	26	$34.84	$51.22	$128.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.97 / $87.60 / $184.46	Professional	TC	$45.97	$87.60	$184.46