Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.55 / $75.78 / $84.06	Facility	26	$45.55	$75.78	$84.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.24 / $190.57 / $321.60	Professional		$133.24	$190.57	$321.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.38 / $48.52 / $84.06	Professional	26	$33.38	$48.52	$84.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.82 / $142.09 / $237.55	Professional	TC	$96.82	$142.09	$237.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $95.90 / $95.90 / $122.75	Professional	26	$95.90	$95.90	$122.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.62 / $196.62 / $196.62	Professional		$196.62	$196.62	$196.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.66 / $145.47 / $323.27	Professional		$69.66	$145.47	$323.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.96 / $51.90 / $108.29	Professional	26	$19.96	$51.90	$108.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.13 / $106.04 / $208.08	Professional	TC	$52.13	$106.04	$208.08
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 $94.84 / $158.07 / $312.89	Professional		$94.84	$158.07	$312.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.22 / $43.70 / $113.72	Professional	26	$26.22	$43.70	$113.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.42 / $110.58 / $221.17	Professional	TC	$62.42	$110.58	$221.17