Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $97.72 / $144.54	Facility	26	$89.13	$97.72	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $426.58 / $676.08	Professional		$234.42	$426.58	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $107.15 / $186.21	Professional	26	$57.54	$107.15	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $295.12 / $501.19	Professional	TC	$177.83	$295.12	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $190.55	Professional		$125.89	$125.89	$190.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $52.48 / $104.71	Professional	26	$42.66	$52.48	$104.71
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $147.91 / $147.91	Professional	TC	$147.91	$147.91	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $467.74 / $933.25	Professional		$181.97	$467.74	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $91.20 / $123.03	Professional	26	$42.66	$91.20	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $371.54 / $812.83	Professional	TC	$131.83	$371.54	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $120.23	Professional		$32.36	$33.11	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $912.01	Professional		$218.78	$346.74	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $64.57 / $123.03	Professional	26	$47.86	$64.57	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $263.03 / $776.25	Professional	TC	$162.18	$263.03	$776.25