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 / $325.00 / $367.69	Professional		$194.19	$325.00	$367.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $96.40 / $130.22	Professional	26	$52.78	$96.40	$130.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.42 / $227.00 / $285.48	Professional	TC	$125.42	$227.00	$285.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.31 / $115.31 / $128.12	Professional		$115.31	$115.31	$128.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.48 / $52.83 / $132.08	Professional	26	$42.48	$52.83	$132.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.74 / $373.74 / $373.74	Professional		$373.74	$373.74	$373.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.54 / $369.45 / $532.47	Professional		$142.54	$369.45	$532.47
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 $93.47 / $256.39 / $419.10	Professional	TC	$93.47	$256.39	$419.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $132.82	Professional		$32.34	$32.34	$132.82
United Facility/Professional Professional Modifier Low / Median / High Price $175.71 / $235.22 / $558.63	Professional		$175.71	$235.22	$558.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.95 / $68.69 / $118.12	Professional	26	$49.95	$68.69	$118.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $116.65 / $171.34 / $451.19	Professional	TC	$116.65	$171.34	$451.19