Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.08 / $138.37 / $162.06	Facility	26	$109.08	$138.37	$162.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.07 / $475.00 / $558.73	Professional		$376.07	$475.00	$558.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.65 / $140.00 / $162.06	Professional	26	$100.65	$140.00	$162.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $266.99 / $335.00 / $396.67	Professional	TC	$266.99	$335.00	$396.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.46 / $156.46 / $179.09	Professional		$156.46	$156.46	$179.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.62 / $100.38 / $145.97	Professional	26	$46.62	$100.38	$145.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $714.00 / $714.00 / $714.00	Professional		$714.00	$714.00	$714.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.62 / $511.01 / $841.49	Professional		$190.62	$511.01	$841.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.20 / $104.68 / $132.54	Professional	26	$54.20	$104.68	$132.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $136.41 / $378.46 / $712.18	Professional	TC	$136.41	$378.46	$712.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $176.02	Professional		$32.34	$32.34	$176.02
United Facility/Professional Professional Modifier Low / Median / High Price $238.41 / $347.22 / $857.46	Professional		$238.41	$347.22	$857.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $76.64 / $137.13	Professional	26	$54.86	$76.64	$137.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $174.41 / $277.48 / $779.45	Professional	TC	$174.41	$277.48	$779.45