Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $97.72 / $125.89	Facility	26	$56.23	$97.72	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $204.17 / $398.11	Professional		$100.00	$204.17	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $57.54 / $165.96	Professional	26	$44.67	$57.54	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $173.78 / $338.84	Professional	TC	$109.65	$173.78	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $309.03	Professional		$102.33	$158.49	$309.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $44.67 / $87.10	Professional	26	$34.67	$44.67	$87.10
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $97.72 / $165.96	Professional	TC	$83.18	$97.72	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $263.03 / $426.58	Professional		$134.90	$263.03	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $77.62 / $104.71	Professional	26	$35.48	$77.62	$104.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $194.98 / $323.59	Professional	TC	$95.50	$194.98	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $87.10	Professional		$32.36	$33.11	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $436.52	Professional		$151.36	$199.53	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $56.23 / $100.00	Professional	26	$40.74	$56.23	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $141.25 / $338.84	Professional	TC	$107.15	$141.25	$338.84