Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $223.87	Professional		$89.13	$107.15	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $40.74 / $107.15	Professional	26	$30.90	$40.74	$107.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $75.86 / $165.96	Professional	TC	$63.10	$75.86	$165.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $41.69 / $42.66	Professional	26	$41.69	$41.69	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $223.87	Professional		$123.03	$144.54	$223.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $41.69 / $95.50	Professional	26	$38.90	$41.69	$95.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $104.71 / $128.82	Professional	TC	$70.79	$104.71	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $263.03	Professional		$61.66	$87.10	$263.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $31.62 / $112.20	Professional	26	$20.42	$31.62	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $56.23 / $147.91	Professional	TC	$38.02	$56.23	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $363.08	Professional		$75.86	$125.89	$363.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $41.69 / $158.49	Professional	26	$23.99	$41.69	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $89.13 / $213.80	Professional	TC	$52.48	$89.13	$213.80