Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $145.40 / $184.45 / $216.02	Facility	26	$145.40	$184.45	$216.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $553.42 / $822.24	Professional		$475.00	$553.42	$822.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $140.00 / $216.02	Professional	26	$134.90	$140.00	$216.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $408.03 / $606.22	Professional	TC	$335.00	$408.03	$606.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.83 / $63.83 / $63.83	Professional	26	$63.83	$63.83	$63.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.83 / $590.83 / $590.83	Professional		$590.83	$590.83	$590.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.75 / $633.16 / $947.66	Professional		$280.75	$633.16	$947.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.06 / $141.44 / $176.77	Professional	26	$72.06	$141.44	$176.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.69 / $478.49 / $773.53	Professional	TC	$208.69	$478.49	$773.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $70.11 / $258.76	Professional		$32.34	$70.11	$258.76
United Facility/Professional Professional Modifier Low / Median / High Price $341.91 / $429.14 / $942.78	Professional		$341.91	$429.14	$942.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.34 / $100.84 / $208.00	Professional	26	$73.34	$100.84	$208.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.12 / $323.20 / $781.56	Professional	TC	$255.12	$323.20	$781.56