Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.00 / $118.50 / $194.07	Facility	26	$98.00	$118.50	$194.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.62 / $438.87 / $548.38	Professional		$289.62	$438.87	$548.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.88 / $96.89 / $183.63	Professional	26	$78.88	$96.89	$183.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.13 / $323.39 / $385.85	Professional	TC	$187.13	$323.39	$385.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.35 / $245.09 / $531.39	Professional		$198.35	$245.09	$531.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.20 / $80.56 / $198.18	Professional	26	$63.20	$80.56	$198.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $132.66 / $185.72 / $185.72	Professional	TC	$132.66	$185.72	$185.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.00 / $476.00 / $476.00	Professional		$476.00	$476.00	$476.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.76 / $513.47 / $813.82	Professional		$236.76	$513.47	$813.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.06 / $150.05 / $184.96	Professional	26	$73.06	$150.05	$184.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $163.69 / $340.93 / $662.48	Professional	TC	$163.69	$340.93	$662.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $220.58	Professional		$32.34	$32.34	$220.58
United Facility/Professional Professional Modifier Low / Median / High Price $268.57 / $362.49 / $848.42	Professional		$268.57	$362.49	$848.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.01 / $105.22 / $176.91	Professional	26	$76.01	$105.22	$176.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $183.57 / $259.79 / $681.13	Professional	TC	$183.57	$259.79	$681.13