Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.02 / $98.00 / $147.72	Facility	26	$78.02	$98.00	$147.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.03 / $330.77 / $403.37	Professional		$213.03	$330.77	$403.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.34 / $98.00 / $147.72	Professional	26	$59.34	$98.00	$147.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $135.01 / $240.15 / $276.17	Professional	TC	$135.01	$240.15	$276.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $160.72 / $369.66	Professional		$130.00	$160.72	$369.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.93 / $60.79 / $116.87	Professional	26	$47.93	$60.79	$116.87
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $80.65 / $80.65 / $80.65	Professional	TC	$80.65	$80.65	$80.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.33 / $337.33 / $337.33	Professional		$337.33	$337.33	$337.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.55 / $347.00 / $538.83	Professional		$155.55	$347.00	$538.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.64 / $107.72 / $136.04	Professional	26	$55.64	$107.72	$136.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.91 / $229.38 / $406.15	Professional	TC	$99.91	$229.38	$406.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $144.65	Professional		$32.34	$32.34	$144.65
United Facility/Professional Professional Modifier Low / Median / High Price $182.41 / $232.45 / $523.87	Professional		$182.41	$232.45	$523.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.75 / $77.81 / $134.00	Professional	26	$54.75	$77.81	$134.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.41 / $161.96 / $382.10	Professional	TC	$115.41	$161.96	$382.10