Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.17 / $119.91 / $178.15	Facility	26	$111.17	$119.91	$178.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.12 / $472.55 / $522.50	Professional		$315.12	$472.55	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.17 / $140.00 / $178.15	Professional	26	$111.17	$140.00	$178.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $198.15 / $294.39 / $335.00	Professional	TC	$198.15	$294.39	$335.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.57 / $166.96 / $384.01	Professional		$133.57	$166.96	$384.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.80 / $64.48 / $161.22	Professional	26	$51.80	$64.48	$161.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.34 / $505.34 / $505.34	Professional		$505.34	$505.34	$505.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.13 / $384.42 / $824.36	Professional		$161.13	$384.42	$824.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.60 / $120.00 / $153.96	Professional	26	$59.60	$120.00	$153.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $101.52 / $242.24 / $700.01	Professional	TC	$101.52	$242.24	$700.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $150.26	Professional		$32.34	$32.34	$150.26
United Facility/Professional Professional Modifier Low / Median / High Price $195.36 / $282.26 / $882.23	Professional		$195.36	$282.26	$882.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.53 / $86.29 / $160.93	Professional	26	$63.53	$86.29	$160.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.45 / $183.41 / $679.98	Professional	TC	$123.45	$183.41	$679.98