Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $26.92	Facility	26	$19.95	$19.95	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $151.36	Professional		$32.36	$42.66	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $21.88 / $66.07	Professional	26	$16.98	$21.88	$66.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $16.98 / $28.18	Professional	TC	$14.13	$16.98	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $35.48	Professional		$34.67	$34.67	$35.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $190.55	Professional		$32.36	$58.88	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $33.11 / $56.23	Professional	26	$18.62	$33.11	$56.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $22.91 / $134.90	Professional	TC	$13.18	$22.91	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $33.11	Professional		$18.20	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $151.36	Professional		$34.67	$44.67	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $26.30 / $43.65	Professional	26	$20.42	$26.30	$43.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $18.20 / $107.15	Professional	TC	$13.80	$18.20	$107.15