Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.38 / $98.00 / $137.04	Facility	26	$72.38	$98.00	$137.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.78 / $292.80 / $346.24	Professional		$190.78	$292.80	$346.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.15 / $72.38 / $137.04	Professional	26	$55.15	$72.38	$137.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.48 / $201.03 / $227.00	Professional	TC	$110.48	$201.03	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.73 / $222.88 / $320.39	Professional		$108.73	$222.88	$320.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.58 / $56.70 / $139.63	Professional	26	$44.58	$56.70	$139.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.00 / $392.00 / $392.00	Professional		$392.00	$392.00	$392.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.30 / $371.36 / $551.85	Professional		$134.30	$371.36	$551.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.84 / $99.70 / $125.86	Professional	26	$51.84	$99.70	$125.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.47 / $268.83 / $428.62	Professional	TC	$82.47	$268.83	$428.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $125.37	Professional		$32.34	$32.34	$125.37
United Facility/Professional Professional Modifier Low / Median / High Price $180.04 / $245.59 / $412.50	Professional		$180.04	$245.59	$412.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.85 / $71.70 / $123.68	Professional	26	$50.85	$71.70	$123.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $118.20 / $165.88 / $350.02	Professional	TC	$118.20	$165.88	$350.02