Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $131.06 / $220.62	Professional		$67.59	$131.06	$220.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.35 / $17.22 / $28.98	Professional	26	$12.35	$17.22	$28.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.25 / $113.85 / $191.64	Professional	TC	$55.25	$113.85	$191.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.38 / $128.38 / $128.38	Professional		$128.38	$128.38	$128.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.00 / $123.00	Professional		$123.00	$123.00	$123.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.49 / $139.90 / $177.22	Professional		$95.49	$139.90	$177.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.06 / $20.64 / $29.34	Professional	26	$13.06	$20.64	$29.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.10 / $121.86 / $150.82	Professional	TC	$82.10	$121.86	$150.82
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 $82.43 / $103.81 / $128.97	Professional		$82.43	$103.81	$128.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.14 / $14.75 / $21.48	Professional	26	$12.14	$14.75	$21.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.09 / $88.65 / $118.29	Professional	TC	$66.09	$88.65	$118.29