Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.78 / $97.44 / $144.77	Facility	26	$89.78	$97.44	$144.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.27 / $475.00 / $527.04	Professional		$353.27	$475.00	$527.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.78 / $140.00 / $144.77	Professional	26	$89.78	$140.00	$144.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.30 / $335.00 / $382.28	Professional	TC	$257.30	$335.00	$382.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $428.54 / $494.09	Professional		$146.27	$428.54	$494.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.73 / $51.91 / $129.78	Professional	26	$41.73	$51.91	$129.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.38 / $553.38 / $553.38	Professional		$553.38	$553.38	$553.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.30 / $524.23 / $933.65	Professional		$181.30	$524.23	$933.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.20 / $93.58 / $120.00	Professional	26	$48.20	$93.58	$120.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $133.09 / $384.96 / $818.46	Professional	TC	$133.09	$384.96	$818.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $167.69	Professional		$32.34	$32.34	$167.69
United Facility/Professional Professional Modifier Low / Median / High Price $218.43 / $348.63 / $921.07	Professional		$218.43	$348.63	$921.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.08 / $67.48 / $137.63	Professional	26	$49.08	$67.48	$137.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $161.69 / $274.92 / $826.52	Professional	TC	$161.69	$274.92	$826.52