Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.34 / $98.00 / $119.94	Facility	26	$63.34	$98.00	$119.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.90 / $311.08 / $353.25	Professional		$174.90	$311.08	$353.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.06 / $88.79 / $119.94	Professional	26	$56.06	$88.79	$119.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.55 / $227.00 / $287.80	Professional	TC	$111.55	$227.00	$287.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.41 / $305.49 / $305.49	Professional		$107.41	$305.49	$305.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.27 / $49.82 / $122.73	Professional	26	$39.27	$49.82	$122.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.93 / $311.93 / $311.93	Professional		$311.93	$311.93	$311.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.30 / $321.00 / $550.23	Professional		$128.30	$321.00	$550.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.30 / $100.10 / $125.33	Professional	26	$45.30	$100.10	$125.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.00 / $206.00 / $425.58	Professional	TC	$83.00	$206.00	$425.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $119.54	Professional		$32.34	$32.34	$119.54
United Facility/Professional Professional Modifier Low / Median / High Price $147.68 / $212.54 / $530.29	Professional		$147.68	$212.54	$530.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.54 / $65.25 / $119.36	Professional	26	$50.54	$65.25	$119.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.64 / $134.25 / $375.24	Professional	TC	$95.64	$134.25	$375.24