Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.59 / $127.35 / $135.57	Facility	26	$71.59	$127.35	$135.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.01 / $370.64 / $430.29	Professional		$213.01	$370.64	$430.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.97 / $98.00 / $135.57	Professional	26	$60.97	$98.00	$135.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.41 / $253.46 / $359.11	Professional	TC	$141.41	$253.46	$359.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $73.14	Professional		$73.14	$73.14	$73.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.06 / $52.10 / $82.77	Professional	26	$33.06	$52.10	$82.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.00 / $505.00 / $505.00	Professional		$505.00	$505.00	$505.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.21 / $385.87 / $664.23	Professional		$155.21	$385.87	$664.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.00 / $108.96 / $136.02	Professional	26	$51.00	$108.96	$136.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.21 / $255.01 / $528.20	Professional	TC	$104.21	$255.01	$528.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $144.16	Professional		$32.34	$32.34	$144.16
United Facility/Professional Professional Modifier Low / Median / High Price $180.41 / $233.89 / $564.45	Professional		$180.41	$233.89	$564.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.13 / $71.45 / $125.21	Professional	26	$56.13	$71.45	$125.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $121.29 / $183.61 / $442.99	Professional	TC	$121.29	$183.61	$442.99