Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $97.72 / $131.83	Facility	26	$47.86	$97.72	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $257.04 / $512.86	Professional		$128.82	$257.04	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $54.95 / $147.91	Professional	26	$37.15	$54.95	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $144.54 / $257.04	Professional	TC	$87.10	$144.54	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $263.03	Professional		$85.11	$112.20	$263.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $38.02 / $63.10	Professional	26	$30.20	$38.02	$63.10
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $75.86 / $128.82	Professional	TC	$69.18	$75.86	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $239.88 / $457.09	Professional		$107.15	$239.88	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $72.44 / $109.65	Professional	26	$30.90	$72.44	$109.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $165.96 / $346.74	Professional	TC	$74.13	$165.96	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $66.07	Professional		$32.36	$33.11	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $407.38	Professional		$120.23	$169.82	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $50.12 / $104.71	Professional	26	$37.15	$50.12	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $117.49 / $331.13	Professional	TC	$83.18	$117.49	$331.13