Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.19 / $149.93 / $175.59	Facility	26	$118.19	$149.93	$175.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.51 / $475.00 / $689.54	Professional		$437.51	$475.00	$689.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.55 / $140.00 / $175.59	Professional	26	$109.55	$140.00	$175.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $327.95 / $335.00 / $513.95	Professional	TC	$327.95	$335.00	$513.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.05 / $63.57 / $63.57	Professional	26	$51.05	$63.57	$63.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $726.00 / $726.00 / $726.00	Professional		$726.00	$726.00	$726.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.36 / $614.50 / $965.77	Professional		$283.36	$614.50	$965.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.73 / $113.35 / $143.82	Professional	26	$58.73	$113.35	$143.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $224.63 / $493.79 / $826.35	Professional	TC	$224.63	$493.79	$826.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $258.80	Professional		$32.34	$32.34	$258.80
United Facility/Professional Professional Modifier Low / Median / High Price $342.35 / $443.04 / $934.03	Professional		$342.35	$443.04	$934.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.53 / $82.58 / $146.69	Professional	26	$57.53	$82.58	$146.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $280.26 / $360.46 / $781.24	Professional	TC	$280.26	$360.46	$781.24