Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $125.89 / $128.82	Facility	26	$70.79	$125.89	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $436.52	Professional		$199.53	$275.42	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $64.57 / $125.89	Professional	26	$54.95	$64.57	$125.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $190.55 / $295.12	Professional	TC	$138.04	$190.55	$295.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $63.10 / $109.65	Professional	26	$54.95	$63.10	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $398.11 / $645.65	Professional		$165.96	$398.11	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $97.72 / $128.82	Professional	26	$45.71	$97.72	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $295.12 / $524.81	Professional	TC	$114.82	$295.12	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $104.71	Professional		$32.36	$33.11	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $676.08	Professional		$204.17	$281.84	$676.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $69.18 / $123.03	Professional	26	$50.12	$69.18	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $199.53 / $575.44	Professional	TC	$144.54	$199.53	$575.44