Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.78 / $98.00 / $130.22	Facility	26	$68.78	$98.00	$130.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.19 / $338.07 / $367.69	Professional		$194.19	$338.07	$367.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $96.40 / $130.22	Professional	26	$52.46	$96.40	$130.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.42 / $227.00 / $285.86	Professional	TC	$125.42	$227.00	$285.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.17 / $338.17 / $338.17	Professional		$338.17	$338.17	$338.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.26 / $52.83 / $132.08	Professional	26	$42.26	$52.83	$132.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.00 / $482.00 / $482.00	Professional		$482.00	$482.00	$482.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.27 / $368.89 / $533.67	Professional		$142.27	$368.89	$533.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.07 / $94.23 / $120.19	Professional	26	$49.07	$94.23	$120.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.20 / $256.77 / $419.65	Professional	TC	$93.20	$256.77	$419.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $132.33	Professional		$32.34	$32.34	$132.33
United Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $238.19 / $532.41	Professional		$175.40	$238.19	$532.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.17 / $69.29 / $118.12	Professional	26	$50.17	$69.29	$118.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $116.34 / $171.84 / $451.78	Professional	TC	$116.34	$171.84	$451.78