Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.59 / $98.00 / $135.57	Facility	26	$71.59	$98.00	$135.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.80 / $368.37 / $468.15	Professional		$242.80	$368.37	$468.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.17 / $98.00 / $135.57	Professional	26	$62.17	$98.00	$135.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $171.20 / $304.51 / $352.11	Professional	TC	$171.20	$304.51	$352.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.65 / $418.53 / $418.53	Professional		$142.65	$418.53	$418.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.88 / $88.01 / $137.43	Professional	26	$43.88	$88.01	$137.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $507.00 / $507.00	Professional		$507.00	$507.00	$507.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.22 / $476.91 / $714.31	Professional		$177.22	$476.91	$714.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.00 / $111.17 / $142.44	Professional	26	$51.00	$111.17	$142.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.22 / $359.98 / $575.55	Professional	TC	$126.22	$359.98	$575.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $163.77	Professional		$32.34	$32.34	$163.77
United Facility/Professional Professional Modifier Low / Median / High Price $220.95 / $294.74 / $643.63	Professional		$220.95	$294.74	$643.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.20 / $72.64 / $132.88	Professional	26	$56.20	$72.64	$132.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $159.78 / $217.96 / $524.33	Professional	TC	$159.78	$217.96	$524.33