Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.75 / $98.00 / $133.97	Facility	26	$70.75	$98.00	$133.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.31 / $389.06 / $441.54	Professional		$226.31	$389.06	$441.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.34 / $98.00 / $133.97	Professional	26	$59.34	$98.00	$133.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $155.56 / $279.22 / $358.73	Professional	TC	$155.56	$279.22	$358.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.84 / $155.84 / $155.84	Professional		$155.84	$155.84	$155.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.36 / $46.72 / $135.83	Professional	26	$43.36	$46.72	$135.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.06 / $439.06 / $439.06	Professional		$439.06	$439.06	$439.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.18 / $407.04 / $651.16	Professional		$165.18	$407.04	$651.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.24 / $107.72 / $136.04	Professional	26	$50.24	$107.72	$136.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.95 / $298.20 / $527.73	Professional	TC	$114.95	$298.20	$527.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $107.67	Professional		$32.34	$32.34	$107.67
United Facility/Professional Professional Modifier Low / Median / High Price $208.05 / $282.80 / $657.73	Professional		$208.05	$282.80	$657.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.50 / $77.41 / $133.38	Professional	26	$54.50	$77.41	$133.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $142.72 / $220.51 / $535.73	Professional	TC	$142.72	$220.51	$535.73