Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.88 / $108.28 / $115.27	Facility	26	$60.88	$108.28	$115.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $221.25 / $325.00	Professional		$134.40	$221.25	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.10 / $92.54 / $115.27	Professional	26	$46.10	$92.54	$115.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.29 / $135.93 / $227.00	Professional	TC	$88.29	$135.93	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.36 / $109.66 / $277.04	Professional		$96.36	$109.66	$277.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.69 / $46.92 / $91.60	Professional	26	$37.69	$46.92	$91.60
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $58.70 / $58.70 / $58.82	Professional	TC	$58.70	$58.70	$58.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.36 / $246.36 / $246.36	Professional		$246.36	$246.36	$246.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.07 / $225.28 / $290.55	Professional		$116.07	$225.28	$290.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.53 / $83.90 / $105.51	Professional	26	$43.53	$83.90	$105.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.53 / $139.44 / $181.71	Professional	TC	$72.53	$139.44	$181.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $108.41	Professional		$32.34	$32.34	$108.41
United Facility/Professional Professional Modifier Low / Median / High Price $119.17 / $170.76 / $280.39	Professional		$119.17	$170.76	$280.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.75 / $61.99 / $103.32	Professional	26	$43.75	$61.99	$103.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.13 / $107.84 / $185.10	Professional	TC	$75.13	$107.84	$185.10