Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $316.23	Professional		$107.15	$138.04	$316.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $64.57 / $134.90	Professional	26	$54.95	$64.57	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $64.57 / $144.54	Professional	TC	$52.48	$64.57	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $190.55 / $208.93	Professional		$177.83	$190.55	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $371.54	Professional		$120.23	$213.80	$371.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $102.33 / $151.36	Professional	26	$60.26	$102.33	$151.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $107.15 / $218.78	Professional	TC	$58.88	$107.15	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $281.84	Professional		$117.49	$186.21	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $74.13 / $123.03	Professional	26	$60.26	$74.13	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $102.33 / $165.96	Professional	TC	$56.23	$102.33	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $281.84	Professional		$109.65	$154.88	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $64.57 / $107.15	Professional	26	$53.70	$64.57	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $89.13 / $158.49	Professional	TC	$53.70	$89.13	$158.49