Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $173.78 / $173.78	Facility	26	$117.49	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $758.58	Professional		$302.00	$436.52	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $112.20 / $208.93	Professional	26	$70.79	$112.20	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $338.84 / $645.65	Professional	TC	$234.42	$338.84	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $158.49 / $158.49	Professional	26	$158.49	$158.49	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $588.84 / $954.99	Professional		$281.84	$588.84	$954.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $112.20 / $147.91	Professional	26	$52.48	$112.20	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $478.63 / $831.76	Professional	TC	$223.87	$478.63	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $199.53	Professional		$32.36	$33.11	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $933.25	Professional		$331.13	$446.68	$933.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $81.28 / $147.91	Professional	26	$60.26	$81.28	$147.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $363.08 / $776.25	Professional	TC	$269.15	$363.08	$776.25