Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $97.72 / $199.53	Facility	26	$60.26	$97.72	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $467.74	Professional		$144.54	$186.21	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $66.07 / $177.83	Professional	26	$48.98	$66.07	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $120.23 / $229.09	Professional	TC	$85.11	$120.23	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $275.42	Professional		$83.18	$107.15	$275.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $47.86 / $93.33	Professional	26	$38.02	$47.86	$93.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $89.13 / $128.82	Professional	TC	$58.88	$89.13	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $288.40	Professional		$114.82	$213.80	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $79.43 / $104.71	Professional	26	$38.90	$79.43	$104.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $134.90 / $181.97	Professional	TC	$72.44	$134.90	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $66.07	Professional		$32.36	$33.11	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $295.12	Professional		$120.23	$165.96	$295.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $58.88 / $107.15	Professional	26	$41.69	$58.88	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $104.71 / $186.21	Professional	TC	$75.86	$104.71	$186.21