Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.21 / $98.00 / $172.70	Facility	26	$91.21	$98.00	$172.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.01 / $391.04 / $484.74	Professional		$256.01	$391.04	$484.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.17 / $98.00 / $172.70	Professional	26	$62.17	$98.00	$172.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.80 / $293.13 / $345.93	Professional	TC	$164.80	$293.13	$345.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.43 / $443.23 / $443.23	Professional		$175.43	$443.23	$443.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.35 / $71.15 / $175.30	Professional	26	$56.35	$71.15	$175.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $507.00 / $507.00	Professional		$507.00	$507.00	$507.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.53 / $398.70 / $645.69	Professional		$186.53	$398.70	$645.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.87 / $112.70 / $147.79	Professional	26	$64.87	$112.70	$147.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $121.66 / $297.50 / $506.95	Professional	TC	$121.66	$297.50	$506.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $173.44	Professional		$32.34	$32.34	$173.44
United Facility/Professional Professional Modifier Low / Median / High Price $220.06 / $285.23 / $633.88	Professional		$220.06	$285.23	$633.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.71 / $91.24 / $142.55	Professional	26	$59.71	$91.24	$142.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $142.22 / $200.22 / $468.03	Professional	TC	$142.22	$200.22	$468.03