Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $38.90 / $52.48	Facility	26	$38.90	$38.90	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $251.19	Professional		$107.15	$138.04	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $43.65 / $112.20	Professional	26	$34.67	$43.65	$112.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $83.18 / $131.83	Professional	TC	$66.07	$83.18	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $181.97	Professional		$104.71	$144.54	$181.97
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $154.88 / $154.88	Professional	50	$154.88	$154.88	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $218.78	Professional		$93.33	$141.25	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $53.70 / $87.10	Professional	26	$36.31	$53.70	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $89.13 / $141.25	Professional	TC	$47.86	$89.13	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $154.88	Professional		$89.13	$114.82	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $44.67 / $57.54	Professional	26	$38.90	$44.67	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $67.61 / $97.72	Professional	TC	$51.29	$67.61	$97.72