Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $97.72 / $134.90	Facility	26	$64.57	$97.72	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $501.19	Professional		$223.87	$275.42	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $70.79 / $173.78	Professional	26	$54.95	$70.79	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $218.78 / $363.08	Professional	TC	$169.82	$218.78	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $147.91	Professional		$134.90	$134.90	$147.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $51.29 / $125.89	Professional	26	$40.74	$51.29	$125.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $257.04 / $257.04	Professional	TC	$257.04	$257.04	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $354.81 / $524.81	Professional		$186.21	$354.81	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $87.10 / $117.49	Professional	26	$41.69	$87.10	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $263.03 / $407.38	Professional	TC	$138.04	$263.03	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $131.83	Professional		$32.36	$33.11	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $537.03	Professional		$199.53	$263.03	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $64.57 / $112.20	Professional	26	$47.86	$64.57	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $194.98 / $426.58	Professional	TC	$144.54	$194.98	$426.58