Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.28 / $97.44 / $144.77	Facility	26	$90.28	$97.44	$144.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.77 / $475.00 / $528.57	Professional		$354.77	$475.00	$528.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.28 / $140.00 / $144.77	Professional	26	$90.28	$140.00	$144.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $258.32 / $335.00 / $383.79	Professional	TC	$258.32	$335.00	$383.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.96 / $52.18 / $130.44	Professional	26	$41.96	$52.18	$130.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.44 / $554.44 / $554.44	Professional		$554.44	$554.44	$554.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.56 / $526.45 / $931.84	Professional		$181.56	$526.45	$931.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.20 / $93.03 / $120.00	Professional	26	$48.20	$93.03	$120.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $133.36 / $386.44 / $816.63	Professional	TC	$133.36	$386.44	$816.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $168.18	Professional		$32.34	$32.34	$168.18
United Facility/Professional Professional Modifier Low / Median / High Price $219.36 / $334.70 / $815.67	Professional		$219.36	$334.70	$815.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.54 / $67.88 / $136.80	Professional	26	$47.54	$67.88	$136.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $161.02 / $263.75 / $780.84	Professional	TC	$161.02	$263.75	$780.84