Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.31 / $98.00 / $123.68	Facility	26	$65.31	$98.00	$123.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.09 / $325.00 / $361.82	Professional		$191.09	$325.00	$361.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.46 / $62.68 / $123.68	Professional	26	$49.46	$62.68	$123.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $142.13 / $228.97 / $285.08	Professional	TC	$142.13	$228.97	$285.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $145.36 / $167.16	Professional		$58.82	$145.36	$167.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.49 / $51.36 / $126.53	Professional	26	$40.49	$51.36	$126.53
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $44.50 / $44.50 / $75.80	Professional	TC	$44.50	$44.50	$75.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.49 / $362.49 / $362.49	Professional		$362.49	$362.49	$362.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.74 / $331.45 / $533.27	Professional		$140.74	$331.45	$533.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.00 / $96.07 / $122.30	Professional	26	$47.00	$96.07	$122.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.74 / $247.04 / $419.65	Professional	TC	$93.74	$247.04	$419.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $130.82	Professional		$32.34	$32.34	$130.82
United Facility/Professional Professional Modifier Low / Median / High Price $176.13 / $223.14 / $503.73	Professional		$176.13	$223.14	$503.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.11 / $70.36 / $120.80	Professional	26	$51.11	$70.36	$120.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.73 / $162.38 / $398.91	Professional	TC	$115.73	$162.38	$398.91