Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $97.72 / $144.54	Facility	26	$67.61	$97.72	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $512.86	Professional		$229.09	$281.84	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $64.57 / $128.82	Professional	26	$54.95	$64.57	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $218.78 / $371.54	Professional	TC	$173.78	$218.78	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $53.70 / $91.20	Professional	26	$42.66	$53.70	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $407.38 / $645.65	Professional		$213.80	$407.38	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $93.33 / $123.03	Professional	26	$43.65	$93.33	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $309.03 / $524.81	Professional	TC	$162.18	$309.03	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $676.08	Professional		$229.09	$302.00	$676.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $67.61 / $117.49	Professional	26	$50.12	$67.61	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $234.42 / $562.34	Professional	TC	$173.78	$234.42	$562.34