Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $104.71 / $245.47	Facility	26	$23.99	$104.71	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $190.55	Professional		$87.10	$114.82	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $28.84 / $64.57	Professional	26	$22.91	$28.84	$64.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $83.18 / $134.90	Professional	TC	$67.61	$83.18	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $95.50 / $208.93	Professional		$83.18	$95.50	$208.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.70 / $35.48	Professional	26	$19.95	$25.70	$35.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $213.80	Professional		$89.13	$134.90	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $36.31 / $57.54	Professional	26	$23.99	$36.31	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $97.72 / $162.18	Professional	TC	$66.07	$97.72	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $53.70	Professional		$32.36	$33.11	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $223.87	Professional		$85.11	$109.65	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $29.51 / $58.88	Professional	26	$22.39	$29.51	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $79.43 / $165.96	Professional	TC	$63.10	$79.43	$165.96