Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $97.72 / $162.18	Facility	26	$63.10	$97.72	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $524.81	Professional		$181.97	$275.42	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $75.86 / $204.17	Professional	26	$53.70	$75.86	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $194.98 / $389.05	Professional	TC	$128.82	$194.98	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $56.23 / $123.03	Professional	26	$39.81	$56.23	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $389.05 / $645.65	Professional		$151.36	$389.05	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $95.50 / $131.83	Professional	26	$40.74	$95.50	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $288.40 / $501.19	Professional	TC	$107.15	$288.40	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $537.03	Professional		$194.98	$257.04	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $64.57 / $125.89	Professional	26	$50.12	$64.57	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $186.21 / $416.87	Professional	TC	$144.54	$186.21	$416.87