Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.13 / $122.97 / $130.90	Facility	26	$69.13	$122.97	$130.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.61 / $325.00 / $370.38	Professional		$195.61	$325.00	$370.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $82.32 / $130.90	Professional	26	$52.78	$82.32	$130.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $126.48 / $227.71 / $286.25	Professional	TC	$126.48	$227.71	$286.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.36 / $56.61 / $132.69	Professional	26	$42.36	$56.61	$132.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.00 / $469.00 / $469.00	Professional		$469.00	$469.00	$469.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.24 / $371.14 / $533.67	Professional		$143.24	$371.14	$533.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.23 / $94.77 / $120.19	Professional	26	$49.23	$94.77	$120.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $94.01 / $256.77 / $419.65	Professional	TC	$94.01	$256.77	$419.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $133.54	Professional		$32.34	$32.34	$133.54
United Facility/Professional Professional Modifier Low / Median / High Price $176.64 / $239.93 / $532.99	Professional		$176.64	$239.93	$532.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.20 / $68.68 / $118.12	Professional	26	$50.20	$68.68	$118.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.58 / $171.84 / $424.72	Professional	TC	$117.58	$171.84	$424.72