Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $97.72 / $162.18	Facility	26	$70.79	$97.72	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $524.81	Professional		$199.53	$275.42	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $77.62 / $162.18	Professional	26	$54.95	$77.62	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $213.80 / $371.54	Professional	TC	$141.25	$213.80	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $173.78	Professional		$114.82	$158.49	$173.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $56.23 / $109.65	Professional	26	$44.67	$56.23	$109.65
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $173.78 / $204.17	Professional	TC	$114.82	$173.78	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $380.19 / $645.65	Professional		$165.96	$380.19	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $104.71 / $134.90	Professional	26	$44.67	$104.71	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $281.84 / $524.81	Professional	TC	$114.82	$281.84	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $48.98	Professional		$32.36	$33.11	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $660.69	Professional		$204.17	$281.84	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $75.86 / $134.90	Professional	26	$54.95	$75.86	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $199.53 / $537.03	Professional	TC	$141.25	$199.53	$537.03