Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $97.72 / $128.82	Facility	26	$70.79	$97.72	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $457.09	Professional		$177.83	$275.42	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $77.62 / $154.88	Professional	26	$56.23	$77.62	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $190.55 / $295.12	Professional	TC	$114.82	$190.55	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $154.88	Professional		$102.33	$114.82	$154.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $60.26 / $95.50	Professional	26	$44.67	$60.26	$95.50
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $83.18 / $83.18	Professional	TC	$83.18	$83.18	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $331.13 / $512.86	Professional		$147.91	$331.13	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $97.72 / $128.82	Professional	26	$45.71	$97.72	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $234.42 / $416.87	Professional	TC	$95.50	$234.42	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $87.10	Professional		$32.36	$33.11	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $537.03	Professional		$162.18	$223.87	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $70.79 / $123.03	Professional	26	$52.48	$70.79	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $144.54 / $416.87	Professional	TC	$107.15	$144.54	$416.87