Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $102.33	Professional		$51.29	$60.26	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $26.92 / $38.90	Professional	26	$18.20	$26.92	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $33.88 / $47.86	Professional	TC	$26.92	$33.88	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $75.86 / $120.23	Professional		$48.98	$75.86	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $32.36 / $46.77	Professional	26	$21.38	$32.36	$46.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $43.65 / $79.43	Professional	TC	$28.18	$43.65	$79.43
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 $50.12 / $60.26 / $83.18	Professional		$50.12	$60.26	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $26.30 / $33.11	Professional	26	$22.39	$26.30	$33.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $33.88 / $46.77	Professional	TC	$27.54	$33.88	$46.77