Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.00 / $102.54 / $186.46	Facility	26	$98.00	$102.54	$186.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.60 / $461.50 / $540.77	Professional		$285.60	$461.50	$540.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.95 / $98.00 / $186.46	Professional	26	$73.95	$98.00	$186.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.13 / $332.84 / $386.24	Professional	TC	$187.13	$332.84	$386.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.74 / $261.89 / $261.89	Professional		$109.74	$261.89	$261.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.02 / $82.03 / $189.90	Professional	26	$61.02	$82.03	$189.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $726.00 / $726.00 / $726.00	Professional		$726.00	$726.00	$726.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.82 / $502.35 / $1,044.86	Professional		$231.82	$502.35	$1,044.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.27 / $137.10 / $172.03	Professional	26	$70.27	$137.10	$172.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $161.55 / $373.81 / $876.76	Professional	TC	$161.55	$373.81	$876.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $215.87	Professional		$32.34	$32.34	$215.87
United Facility/Professional Professional Modifier Low / Median / High Price $262.66 / $368.87 / $867.92	Professional		$262.66	$368.87	$867.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.93 / $98.45 / $169.24	Professional	26	$71.93	$98.45	$169.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $180.79 / $253.79 / $787.69	Professional	TC	$180.79	$253.79	$787.69