Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.43 / $98.00 / $106.85	Facility	26	$56.43	$98.00	$106.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $265.91 / $325.00	Professional		$149.50	$265.91	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.77 / $56.90 / $106.85	Professional	26	$43.77	$56.90	$106.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.07 / $177.61 / $227.00	Professional	TC	$93.07	$177.61	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.70 / $197.45 / $261.72	Professional		$88.70	$197.45	$261.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.57 / $43.88 / $108.15	Professional	26	$34.57	$43.88	$108.15
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $59.26 / $59.26 / $123.01	Professional	TC	$59.26	$59.26	$123.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.88 / $319.88 / $319.88	Professional		$319.88	$319.88	$319.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.86 / $299.10 / $437.09	Professional		$109.86	$299.10	$437.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.17 / $84.35 / $111.19	Professional	26	$40.17	$84.35	$111.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.69 / $206.24 / $343.76	Professional	TC	$69.69	$206.24	$343.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $102.41	Professional		$32.34	$32.34	$102.41
United Facility/Professional Professional Modifier Low / Median / High Price $139.78 / $189.68 / $473.96	Professional		$139.78	$189.68	$473.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.33 / $58.10 / $105.76	Professional	26	$42.33	$58.10	$105.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.32 / $138.02 / $366.53	Professional	TC	$91.32	$138.02	$366.53