Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.31 / $98.00 / $123.68	Facility	26	$65.31	$98.00	$123.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.45 / $325.00 / $362.50	Professional		$191.45	$325.00	$362.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $91.56 / $123.68	Professional	26	$50.07	$91.56	$123.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $126.13 / $227.00 / $279.66	Professional	TC	$126.13	$227.00	$279.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.47 / $113.47 / $126.08	Professional		$113.47	$113.47	$126.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.46 / $59.90 / $125.85	Professional	26	$40.46	$59.90	$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 $140.47 / $366.12 / $523.40	Professional		$140.47	$366.12	$523.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.74 / $90.44 / $114.51	Professional	26	$46.74	$90.44	$114.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.74 / $256.05 / $411.63	Professional	TC	$93.74	$256.05	$411.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $130.58	Professional		$32.34	$32.34	$130.58
United Facility/Professional Professional Modifier Low / Median / High Price $173.67 / $216.27 / $431.07	Professional		$173.67	$216.27	$431.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.81 / $65.11 / $112.18	Professional	26	$47.81	$65.11	$112.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.58 / $165.00 / $406.66	Professional	TC	$117.58	$165.00	$406.66