Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.95 / $98.00 / $136.24	Facility	26	$71.95	$98.00	$136.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.21 / $325.00 / $379.09	Professional		$200.21	$325.00	$379.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $98.00 / $136.24	Professional	26	$54.86	$98.00	$136.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.26 / $228.13 / $282.38	Professional	TC	$128.26	$228.13	$282.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.35 / $138.02 / $151.38	Professional		$118.35	$138.02	$151.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.10 / $58.91 / $138.13	Professional	26	$44.10	$58.91	$138.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.12 / $361.12 / $361.12	Professional		$361.12	$361.12	$361.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.35 / $362.19 / $516.51	Professional		$146.35	$362.19	$516.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.27 / $99.05 / $131.00	Professional	26	$51.27	$99.05	$131.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.08 / $237.06 / $417.45	Professional	TC	$95.08	$237.06	$417.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $136.24	Professional		$32.34	$32.34	$136.24
United Facility/Professional Professional Modifier Low / Median / High Price $168.92 / $217.86 / $533.79	Professional		$168.92	$217.86	$533.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.31 / $71.29 / $122.96	Professional	26	$50.31	$71.29	$122.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $110.48 / $150.69 / $398.90	Professional	TC	$110.48	$150.69	$398.90