Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $87.10	Facility	26	$42.66	$42.66	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $257.04	Professional		$128.82	$158.49	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $48.98 / $87.10	Professional	26	$41.69	$48.98	$87.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $107.15 / $173.78	Professional	TC	$85.11	$107.15	$173.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $44.67 / $54.95	Professional	26	$31.62	$44.67	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $295.12	Professional		$125.89	$199.53	$295.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $64.57 / $102.33	Professional	26	$42.66	$64.57	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $128.82 / $208.93	Professional	TC	$85.11	$128.82	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $69.18	Professional		$32.36	$33.11	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $371.54	Professional		$117.49	$154.88	$371.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $51.29 / $104.71	Professional	26	$38.90	$51.29	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $102.33 / $251.19	Professional	TC	$75.86	$102.33	$251.19