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 $148.79 / $264.64 / $325.00	Professional		$148.79	$264.64	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.26 / $56.43 / $106.85	Professional	26	$43.26	$56.43	$106.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.35 / $177.61 / $231.46	Professional	TC	$92.35	$177.61	$231.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $126.82 / $260.43	Professional		$101.90	$126.82	$260.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.61 / $43.26 / $108.15	Professional	26	$34.61	$43.26	$108.15
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $58.80 / $58.80 / $58.80	Professional	TC	$58.80	$58.80	$58.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.41 / $317.41 / $317.41	Professional		$317.41	$317.41	$317.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.05 / $291.74 / $432.55	Professional		$109.05	$291.74	$432.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.17 / $82.03 / $111.19	Professional	26	$40.17	$82.03	$111.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.88 / $204.55 / $342.66	Professional	TC	$68.88	$204.55	$342.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $101.91	Professional		$32.34	$32.34	$101.91
United Facility/Professional Professional Modifier Low / Median / High Price $139.16 / $188.82 / $445.26	Professional		$139.16	$188.82	$445.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.19 / $58.15 / $105.76	Professional	26	$41.19	$58.15	$105.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.70 / $137.02 / $364.78	Professional	TC	$90.70	$137.02	$364.78