Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.01 / $179.66 / $191.25	Facility	26	$101.01	$179.66	$191.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.56 / $434.01 / $546.37	Professional		$288.56	$434.01	$546.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.34 / $101.01 / $191.25	Professional	26	$78.34	$101.01	$191.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.55 / $333.60 / $385.85	Professional	TC	$187.55	$333.60	$385.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $78.12 / $78.12 / $78.12	Professional	26	$78.12	$78.12	$78.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.00 / $567.00 / $567.00	Professional		$567.00	$567.00	$567.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.79 / $510.52 / $836.40	Professional		$255.79	$510.52	$836.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.95 / $141.44 / $176.67	Professional	26	$71.95	$141.44	$176.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $183.83 / $354.35 / $661.80	Professional	TC	$183.83	$354.35	$661.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $237.41	Professional		$32.34	$32.34	$237.41
United Facility/Professional Professional Modifier Low / Median / High Price $277.83 / $370.57 / $828.32	Professional		$277.83	$370.57	$828.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.34 / $104.00 / $173.58	Professional	26	$73.34	$104.00	$173.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $200.62 / $271.27 / $642.41	Professional	TC	$200.62	$271.27	$642.41