Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $186.21	Professional		$75.86	$89.13	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $28.18 / $169.82	Professional	26	$22.91	$28.18	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $64.57 / $128.82	Professional	TC	$51.29	$64.57	$128.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $33.88 / $34.67	Professional	26	$33.88	$33.88	$34.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $151.36	Professional		$81.28	$128.82	$151.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $33.11 / $57.54	Professional	26	$31.62	$33.11	$57.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $93.33 / $95.50	Professional	TC	$50.12	$93.33	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $123.03	Professional		$34.67	$52.48	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $15.85 / $36.31	Professional	26	$12.30	$15.85	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $36.31 / $89.13	Professional	TC	$22.39	$36.31	$89.13
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 $41.69 / $81.28 / $181.97	Professional		$41.69	$81.28	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $24.55 / $61.66	Professional	26	$14.79	$24.55	$61.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $54.95 / $117.49	Professional	TC	$26.30	$54.95	$117.49