Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.79 / $132.36 / $196.65	Facility	26	$122.79	$132.36	$196.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $522.75 / $776.66	Professional		$475.00	$522.75	$776.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $122.79 / $140.00 / $196.65	Professional	26	$122.79	$140.00	$196.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $390.39 / $580.01	Professional	TC	$335.00	$390.39	$580.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $222.56 / $267.92 / $616.22	Professional		$222.56	$267.92	$616.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $70.68 / $176.70	Professional	26	$56.82	$70.68	$176.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $165.74 / $165.74 / $165.74	Professional	TC	$165.74	$165.74	$165.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $618.54 / $618.54 / $618.54	Professional		$618.54	$618.54	$618.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.45 / $580.00 / $895.48	Professional		$263.45	$580.00	$895.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.67 / $126.20 / $160.33	Professional	26	$65.67	$126.20	$160.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $197.79 / $459.31 / $768.97	Professional	TC	$197.79	$459.31	$768.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $241.13	Professional		$32.34	$32.34	$241.13
United Facility/Professional Professional Modifier Low / Median / High Price $324.97 / $432.97 / $974.15	Professional		$324.97	$432.97	$974.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.84 / $92.79 / $167.46	Professional	26	$66.84	$92.79	$167.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.97 / $350.38 / $818.40	Professional	TC	$245.97	$350.38	$818.40