Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.88 / $127.86 / $136.10	Facility	26	$71.88	$127.86	$136.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.09 / $342.37 / $435.76	Professional		$227.09	$342.37	$435.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.56 / $98.00 / $136.10	Professional	26	$54.56	$98.00	$136.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $155.19 / $276.06 / $293.87	Professional	TC	$155.19	$276.06	$293.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.08 / $107.27 / $107.27	Professional	26	$45.08	$107.27	$107.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.00 / $564.00 / $564.00	Professional		$564.00	$564.00	$564.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.48 / $426.00 / $642.25	Professional		$166.48	$426.00	$642.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.00 / $99.05 / $127.50	Professional	26	$51.00	$99.05	$127.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $115.48 / $323.39 / $528.27	Professional	TC	$115.48	$323.39	$528.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $153.85	Professional		$32.34	$32.34	$153.85
United Facility/Professional Professional Modifier Low / Median / High Price $205.01 / $279.33 / $686.98	Professional		$205.01	$279.33	$686.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.31 / $71.06 / $122.34	Professional	26	$50.31	$71.06	$122.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $143.84 / $214.69 / $569.12	Professional	TC	$143.84	$214.69	$569.12