Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $97.72 / $144.54	Facility	26	$64.57	$97.72	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $676.08	Professional		$165.96	$275.42	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $58.88 / $162.18	Professional	26	$50.12	$58.88	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $173.78 / $323.59	Professional	TC	$104.71	$173.78	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $144.54	Professional		$61.66	$109.65	$144.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $54.95 / $87.10	Professional	26	$41.69	$54.95	$87.10
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $83.18 / $165.96	Professional	TC	$38.90	$83.18	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $323.59 / $537.03	Professional		$141.25	$323.59	$537.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $91.20 / $125.89	Professional	26	$41.69	$91.20	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $213.80 / $416.87	Professional	TC	$93.33	$213.80	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $549.54	Professional		$169.82	$239.88	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $69.18 / $120.23	Professional	26	$48.98	$69.18	$120.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $162.18 / $426.58	Professional	TC	$114.82	$162.18	$426.58