Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.38 / $98.00 / $137.04	Facility	26	$72.38	$98.00	$137.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.62 / $292.80 / $328.74	Professional		$173.62	$292.80	$328.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.15 / $98.00 / $137.04	Professional	26	$55.15	$98.00	$137.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.24 / $182.42 / $227.00	Professional	TC	$101.24	$182.42	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.49 / $119.49 / $119.49	Professional		$119.49	$119.49	$119.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.68 / $55.85 / $139.63	Professional	26	$44.68	$55.85	$139.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.70 / $286.70 / $286.70	Professional		$286.70	$286.70	$286.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.89 / $295.00 / $448.03	Professional		$126.89	$295.00	$448.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.57 / $100.25 / $126.52	Professional	26	$51.57	$100.25	$126.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.31 / $177.76 / $324.77	Professional	TC	$75.31	$177.76	$324.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $118.69	Professional		$32.34	$32.34	$118.69
United Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $187.63 / $443.56	Professional		$148.41	$187.63	$443.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.86 / $73.01 / $124.30	Professional	26	$50.86	$73.01	$124.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.23 / $130.49 / $324.04	Professional	TC	$88.23	$130.49	$324.04