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 $149.13 / $265.27 / $325.00	Professional		$149.13	$265.27	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.94 / $56.43 / $106.85	Professional	26	$42.94	$56.43	$106.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.71 / $177.61 / $227.00	Professional	TC	$92.71	$177.61	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.83 / $261.07 / $261.07	Professional		$91.83	$261.07	$261.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.57 / $43.26 / $108.15	Professional	26	$34.57	$43.26	$108.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.33 / $317.33 / $317.33	Professional		$317.33	$317.33	$317.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.59 / $292.86 / $433.10	Professional		$109.59	$292.86	$433.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.17 / $82.52 / $111.19	Professional	26	$40.17	$82.52	$111.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.42 / $205.67 / $343.21	Professional	TC	$69.42	$205.67	$343.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $102.16	Professional		$32.34	$32.34	$102.16
United Facility/Professional Professional Modifier Low / Median / High Price $139.78 / $178.62 / $445.83	Professional		$139.78	$178.62	$445.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $57.91 / $105.76	Professional	26	$39.81	$57.91	$105.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.32 / $137.52 / $365.37	Professional	TC	$91.32	$137.52	$365.37