Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.64 / $123.64 / $123.64	Facility	26	$123.64	$123.64	$123.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $106.95 / $163.46	Professional		$94.37	$106.95	$163.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.81 / $78.58 / $109.45	Professional	26	$69.81	$78.58	$109.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.69 / $29.55 / $40.71	Professional	TC	$19.69	$29.55	$40.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $89.98 / $89.98 / $89.98	Professional	26	$89.98	$89.98	$89.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.64 / $114.72 / $218.72	Professional		$82.64	$114.72	$218.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.85 / $127.34 / $194.65	Professional		$91.85	$127.34	$194.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.50 / $93.73 / $153.37	Professional	26	$67.50	$93.73	$153.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.86 / $33.90 / $51.09	Professional	TC	$19.86	$33.90	$51.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.27 / $139.47 / $345.40	Professional		$83.27	$139.47	$345.40
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $59.98 / $95.99 / $195.71	Professional	26	$59.98	$95.99	$195.71
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.24 / $34.02 / $72.78	Professional	TC	$23.24	$34.02	$72.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $100.16 / $145.72	Professional		$32.34	$100.16	$145.72
United Facility/Professional Professional Modifier Low / Median / High Price $86.03 / $103.32 / $189.20	Professional		$86.03	$103.32	$189.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.00 / $80.42 / $140.21	Professional	26	$67.00	$80.42	$140.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.71 / $25.13 / $46.26	Professional	TC	$17.71	$25.13	$46.26