Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.27 / $123.83 / $208.44	Professional		$78.27	$123.83	$208.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.78 / $89.28 / $150.29	Professional	26	$64.78	$89.28	$150.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $34.54 / $58.15	Professional	TC	$13.49	$34.54	$58.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $108.85 / $234.10	Professional		$87.08	$108.85	$234.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Professional		$140.00	$140.00	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.27 / $130.83 / $194.13	Professional		$91.27	$130.83	$194.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.80 / $110.10 / $154.02	Professional	26	$69.80	$110.10	$154.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.80 / $30.14 / $43.16	Professional	TC	$19.80	$30.14	$43.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $102.03 / $142.62	Professional		$86.00	$102.03	$142.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.25 / $77.48 / $113.82	Professional	26	$65.25	$77.48	$113.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.30 / $24.49 / $31.81	Professional	TC	$18.30	$24.49	$31.81