Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.93 / $94.93 / $94.93	Facility	26	$94.93	$94.93	$94.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $121.88 / $237.66	Professional		$102.38	$121.88	$237.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.14 / $34.52 / $93.68	Professional	26	$31.14	$34.52	$93.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.70 / $87.48 / $185.52	Professional	TC	$71.70	$87.48	$185.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.26 / $23.26 / $23.26	Professional	26	$23.26	$23.26	$23.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $149.52 / $231.37	Professional		$44.99	$149.52	$231.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.41 / $100.73 / $251.27	Professional		$67.41	$100.73	$251.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.47 / $37.77 / $72.20	Professional	26	$19.47	$37.77	$72.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.90 / $62.63 / $184.69	Professional	TC	$47.90	$62.63	$184.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $161.80 / $235.95 / $616.42	Professional		$161.80	$235.95	$616.42
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $44.63 / $68.15 / $314.49	Professional	26	$44.63	$68.15	$314.49
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $93.72 / $147.85 / $314.77	Professional	TC	$93.72	$147.85	$314.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $55.18 / $218.18	Professional		$32.34	$55.18	$218.18
United Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $147.44 / $233.44	Professional		$83.45	$147.44	$233.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.61 / $46.14 / $76.39	Professional	26	$26.61	$46.14	$76.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.84 / $99.64 / $168.48	Professional	TC	$56.84	$99.64	$168.48