Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $120.23 / $181.97	Facility	26	$112.20	$120.23	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $758.58	Professional		$251.19	$426.58	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $112.20 / $208.93	Professional	26	$72.44	$112.20	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $302.00 / $537.03	Professional	TC	$186.21	$302.00	$537.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $66.07 / $165.96	Professional	26	$66.07	$66.07	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $512.86 / $977.24	Professional		$208.93	$512.86	$977.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $93.33 / $141.25	Professional	26	$51.29	$93.33	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $398.11 / $870.96	Professional	TC	$147.91	$398.11	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $134.90	Professional		$32.36	$33.11	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $912.01	Professional		$245.47	$363.08	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $75.86 / $138.04	Professional	26	$50.12	$75.86	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $281.84 / $776.25	Professional	TC	$173.78	$281.84	$776.25