Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.31 / $98.00 / $123.68	Facility	26	$65.31	$98.00	$123.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.59 / $329.25 / $478.27	Professional		$252.59	$329.25	$478.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $77.59 / $123.68	Professional	26	$50.07	$77.59	$123.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.27 / $262.49 / $354.59	Professional	TC	$187.27	$262.49	$354.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.65 / $179.65 / $179.65	Professional		$179.65	$179.65	$179.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.21 / $50.34 / $125.85	Professional	26	$40.21	$50.34	$125.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.28 / $370.28 / $370.28	Professional		$370.28	$370.28	$370.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.01 / $376.31 / $518.86	Professional		$192.01	$376.31	$518.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.74 / $90.44 / $114.51	Professional	26	$46.74	$90.44	$114.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $145.28 / $277.92 / $401.06	Professional	TC	$145.28	$277.92	$401.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $175.97	Professional		$32.34	$32.34	$175.97
United Facility/Professional Professional Modifier Low / Median / High Price $201.68 / $263.99 / $578.24	Professional		$201.68	$263.99	$578.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.68 / $66.01 / $112.18	Professional	26	$47.68	$66.01	$112.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.86 / $195.34 / $429.59	Professional	TC	$154.86	$195.34	$429.59