Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $120.23 / $186.21	Facility	26	$112.20	$120.23	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $426.58 / $724.44	Professional		$208.93	$426.58	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $120.23 / $229.09	Professional	26	$66.07	$120.23	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $213.80 / $436.52	Professional	TC	$123.03	$213.80	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $295.12	Professional		$112.20	$154.88	$295.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $66.07 / $158.49	Professional	26	$52.48	$66.07	$158.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $95.50 / $177.83	Professional	TC	$63.10	$95.50	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $398.11 / $831.76	Professional		$162.18	$398.11	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $117.49 / $154.88	Professional	26	$52.48	$117.49	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $269.15 / $707.95	Professional	TC	$102.33	$269.15	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $91.20	Professional		$32.36	$33.11	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $870.96	Professional		$181.97	$263.03	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $83.18 / $158.49	Professional	26	$63.10	$83.18	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $173.78 / $707.95	Professional	TC	$120.23	$173.78	$707.95