Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.43 / $100.38 / $206.25	Facility	26	$56.43	$100.38	$206.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.79 / $264.64 / $325.00	Professional		$148.79	$264.64	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.82 / $87.19 / $127.00	Professional	26	$43.82	$87.19	$127.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.35 / $177.61 / $231.46	Professional	TC	$92.35	$177.61	$231.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $103.06 / $261.07	Professional		$90.81	$103.06	$261.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.61 / $43.26 / $108.15	Professional	26	$34.61	$43.26	$108.15
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $56.20 / $56.20 / $59.03	Professional	TC	$56.20	$56.20	$59.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.91 / $290.91 / $290.91	Professional		$290.91	$290.91	$290.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.32 / $291.74 / $423.54	Professional		$109.32	$291.74	$423.54
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 $69.15 / $201.85 / $326.61	Professional	TC	$69.15	$201.85	$326.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $102.16	Professional		$32.34	$32.34	$102.16
United Facility/Professional Professional Modifier Low / Median / High Price $139.16 / $174.76 / $423.68	Professional		$139.16	$174.76	$423.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.20 / $58.15 / $102.50	Professional	26	$41.20	$58.15	$102.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.70 / $134.77 / $367.00	Professional	TC	$90.70	$134.77	$367.00