Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.18 / $59.18 / $59.18	Facility	26	$59.18	$59.18	$59.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $60.00 / $97.79	Professional		$48.18	$60.00	$97.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.41 / $35.22 / $58.14	Professional	26	$28.41	$35.22	$58.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.63 / $24.37 / $36.77	Professional	TC	$19.63	$24.37	$36.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $58.42 / $58.42	Professional		$58.42	$58.42	$58.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.96 / $65.00 / $96.60	Professional		$39.96	$65.00	$96.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.03 / $74.89 / $118.73	Professional		$50.03	$74.89	$118.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.74 / $45.82 / $73.83	Professional	26	$30.74	$45.82	$73.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.34 / $31.57 / $51.34	Professional	TC	$18.34	$31.57	$51.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $81.31 / $139.68	Professional		$49.82	$81.31	$139.68
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.30 / $46.58 / $130.27	Professional	26	$28.30	$46.58	$130.27
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.04 / $30.54 / $123.28	Professional	TC	$17.04	$30.54	$123.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $47.98 / $88.89	Professional		$32.34	$47.98	$88.89
United Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $61.37 / $99.54	Professional		$47.43	$61.37	$99.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.97 / $37.11 / $60.71	Professional	26	$28.97	$37.11	$60.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.80 / $24.39 / $41.78	Professional	TC	$18.80	$24.39	$41.78