Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.43 / $51.43 / $86.57	Facility	26	$51.43	$51.43	$86.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $94.37 / $164.73	Professional		$79.34	$94.37	$164.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.99 / $47.98 / $86.57	Professional	26	$41.99	$47.98	$86.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.35 / $43.55 / $78.16	Professional	TC	$37.35	$43.55	$78.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $70.29 / $94.89	Professional		$70.29	$70.29	$94.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $89.00 / $89.00	Professional		$89.00	$89.00	$89.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $110.97 / $148.58	Professional		$77.31	$110.97	$148.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.54 / $62.18 / $82.96	Professional	26	$41.54	$62.18	$82.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.17 / $47.10 / $65.61	Professional	TC	$30.17	$47.10	$65.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $68.02	Professional		$32.34	$32.34	$68.02
United Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $94.88 / $138.76	Professional		$74.26	$94.88	$138.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.65 / $51.22 / $81.86	Professional	26	$40.65	$51.22	$81.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.31 / $38.93 / $68.34	Professional	TC	$28.31	$38.93	$68.34