Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.78 / $98.00 / $130.22	Facility	26	$68.78	$98.00	$130.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.98 / $423.46 / $484.67	Professional		$255.98	$423.46	$484.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $96.40 / $130.22	Professional	26	$52.46	$96.40	$130.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.20 / $332.97 / $362.21	Professional	TC	$187.20	$332.97	$362.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.25 / $198.25 / $198.25	Professional		$198.25	$198.25	$198.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.21 / $61.59 / $132.08	Professional	26	$42.21	$61.59	$132.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.00 / $555.00 / $555.00	Professional		$555.00	$555.00	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.80 / $426.00 / $644.79	Professional		$211.80	$426.00	$644.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.80 / $94.23 / $123.92	Professional	26	$48.80	$94.23	$123.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.99 / $324.18 / $527.61	Professional	TC	$162.99	$324.18	$527.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $194.09	Professional		$32.34	$32.34	$194.09
United Facility/Professional Professional Modifier Low / Median / High Price $231.97 / $312.39 / $586.17	Professional		$231.97	$312.39	$586.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.37 / $68.69 / $118.12	Professional	26	$48.37	$68.69	$118.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $172.83 / $235.41 / $566.11	Professional	TC	$172.83	$235.41	$566.11