Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.88 / $59.69 / $66.20	Facility	26	$35.88	$59.69	$66.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $146.27 / $247.09	Professional		$86.29	$146.27	$247.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.42 / $38.11 / $66.20	Professional	26	$23.42	$38.11	$66.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.86 / $108.15 / $180.88	Professional	TC	$62.86	$108.15	$180.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.83 / $75.83 / $97.06	Professional	26	$75.83	$75.83	$97.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.81 / $134.81 / $134.81	Professional		$134.81	$134.81	$134.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $78.05 / $193.59	Professional		$47.40	$78.05	$193.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.94 / $37.85 / $66.89	Professional	26	$13.94	$37.85	$66.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.46 / $80.23 / $138.28	Professional	TC	$33.46	$80.23	$138.28
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 $54.46 / $112.31 / $226.93	Professional		$54.46	$112.31	$226.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.28 / $30.24 / $61.35	Professional	26	$17.28	$30.24	$61.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.84 / $83.44 / $166.88	Professional	TC	$39.84	$83.44	$166.88