Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.43 / $98.00 / $106.85	Facility	26	$56.43	$98.00	$106.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $272.42 / $325.00	Professional		$87.19	$272.42	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.82 / $56.43 / $106.85	Professional	26	$43.82	$56.43	$106.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.04 / $202.84 / $231.46	Professional	TC	$114.04	$202.84	$231.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $156.12 / $307.92	Professional		$112.90	$156.12	$307.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.61 / $43.88 / $108.15	Professional	26	$34.61	$43.88	$108.15
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $461.89 / $461.89 / $461.89	Professional	50	$461.89	$461.89	$461.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $80.73 / $80.73 / $80.73	Professional	TC	$80.73	$80.73	$80.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.70 / $290.70 / $290.70	Professional		$290.70	$290.70	$290.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.62 / $291.17 / $422.94	Professional		$135.62	$291.17	$422.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.17 / $80.87 / $104.41	Professional	26	$40.17	$80.87	$104.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.46 / $201.85 / $325.39	Professional	TC	$95.46	$201.85	$325.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $125.45	Professional		$32.34	$32.34	$125.45
United Facility/Professional Professional Modifier Low / Median / High Price $159.86 / $199.68 / $447.70	Professional		$159.86	$199.68	$447.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.25 / $56.38 / $100.87	Professional	26	$40.25	$56.38	$100.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $111.40 / $143.30 / $326.86	Professional	TC	$111.40	$143.30	$326.86