Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.67 / $119.40 / $177.39	Facility	26	$110.67	$119.40	$177.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.48 / $475.00 / $657.40	Professional		$442.48	$475.00	$657.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.67 / $140.00 / $177.39	Professional	26	$110.67	$140.00	$177.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $323.08 / $335.70 / $480.01	Professional	TC	$323.08	$335.70	$480.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.78 / $177.78 / $207.90	Professional		$177.78	$177.78	$207.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.43 / $52.43 / $52.43	Professional	26	$52.43	$52.43	$52.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.00 / $677.00 / $677.00	Professional		$677.00	$677.00	$677.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.33 / $505.00 / $771.46	Professional		$222.33	$505.00	$771.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.33 / $115.04 / $144.62	Professional	26	$59.33	$115.04	$144.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.99 / $381.44 / $656.42	Professional	TC	$162.99	$381.44	$656.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $203.81	Professional		$32.34	$32.34	$203.81
United Facility/Professional Professional Modifier Low / Median / High Price $272.54 / $347.93 / $791.46	Professional		$272.54	$347.93	$791.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.12 / $83.67 / $155.63	Professional	26	$58.12	$83.67	$155.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $203.03 / $268.33 / $703.32	Professional	TC	$203.03	$268.33	$703.32