Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $97.72 / $162.18	Facility	26	$91.20	$97.72	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $588.84	Professional		$229.09	$281.84	$588.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $93.33 / $204.17	Professional	26	$60.26	$93.33	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $218.78 / $346.74	Professional	TC	$147.91	$218.78	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $144.54	Professional		$131.83	$131.83	$144.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $72.44 / $120.23	Professional	26	$56.23	$72.44	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $398.11 / $645.65	Professional		$186.21	$398.11	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $112.20 / $147.91	Professional	26	$57.54	$112.20	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $257.04 / $501.19	Professional	TC	$123.03	$257.04	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $630.96	Professional		$213.80	$275.42	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $83.18 / $144.54	Professional	26	$60.26	$83.18	$144.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $199.53 / $467.74	Professional	TC	$141.25	$199.53	$467.74