Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $97.72 / $134.90	Facility	26	$56.23	$97.72	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $426.58	Professional		$141.25	$218.78	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $56.23 / $134.90	Professional	26	$42.66	$56.23	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $138.04 / $245.47	Professional	TC	$83.18	$138.04	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $269.15	Professional		$75.86	$87.10	$269.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $48.98 / $87.10	Professional	26	$35.48	$48.98	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $263.03 / $436.52	Professional		$109.65	$263.03	$436.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $79.43 / $112.20	Professional	26	$35.48	$79.43	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $204.17 / $346.74	Professional	TC	$69.18	$204.17	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $63.10	Professional		$32.36	$33.11	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $467.74	Professional		$138.04	$190.55	$467.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $56.23 / $104.71	Professional	26	$39.81	$56.23	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $128.82 / $363.08	Professional	TC	$91.20	$128.82	$363.08