Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.97 / $98.00 / $123.01	Facility	26	$64.97	$98.00	$123.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.91 / $325.00 / $437.21	Professional		$230.91	$325.00	$437.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $64.97 / $123.01	Professional	26	$50.07	$64.97	$123.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $165.94 / $251.41 / $314.20	Professional	TC	$165.94	$251.41	$314.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.47 / $158.47 / $158.47	Professional		$158.47	$158.47	$158.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.26 / $58.67 / $125.85	Professional	26	$41.26	$58.67	$125.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $410.00 / $410.00	Professional		$410.00	$410.00	$410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.66 / $361.62 / $517.95	Professional		$168.66	$361.62	$517.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.74 / $89.89 / $114.51	Professional	26	$46.74	$89.89	$114.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $121.92 / $251.96 / $406.15	Professional	TC	$121.92	$251.96	$406.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $155.63	Professional		$32.34	$32.34	$155.63
United Facility/Professional Professional Modifier Low / Median / High Price $198.69 / $248.51 / $556.62	Professional		$198.69	$248.51	$556.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.36 / $66.09 / $112.18	Professional	26	$47.36	$66.09	$112.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $142.52 / $174.54 / $428.56	Professional	TC	$142.52	$174.54	$428.56