Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $162.18 / $162.18	Facility	26	$109.65	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $707.95	Professional		$245.47	$416.87	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $109.65 / $208.93	Professional	26	$66.07	$109.65	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $288.40 / $512.86	Professional	TC	$181.97	$288.40	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $60.26 / $144.54	Professional	26	$58.88	$60.26	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $426.58 / $851.14	Professional		$190.55	$426.58	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $102.33 / $138.04	Professional	26	$47.86	$102.33	$138.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $323.59 / $707.95	Professional	TC	$134.90	$323.59	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $123.03	Professional		$32.36	$33.11	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $331.13 / $870.96	Professional		$234.42	$331.13	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $74.13 / $134.90	Professional	26	$53.70	$74.13	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $251.19 / $758.58	Professional	TC	$165.96	$251.19	$758.58