Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.78 / $122.33 / $130.22	Facility	26	$68.78	$122.33	$130.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.63 / $391.51 / $423.42	Professional		$223.63	$391.51	$423.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $96.40 / $130.22	Professional	26	$52.78	$96.40	$130.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.85 / $279.86 / $350.69	Professional	TC	$154.85	$279.86	$350.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.60 / $132.60 / $132.60	Professional		$132.60	$132.60	$132.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.98 / $52.56 / $131.40	Professional	26	$41.98	$52.56	$131.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.00 / $494.00 / $494.00	Professional		$494.00	$494.00	$494.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.28 / $442.26 / $662.41	Professional		$164.28	$442.26	$662.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.80 / $94.77 / $119.53	Professional	26	$48.80	$94.77	$119.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $115.48 / $336.60 / $545.20	Professional	TC	$115.48	$336.60	$545.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $108.17	Professional		$32.34	$32.34	$108.17
United Facility/Professional Professional Modifier Low / Median / High Price $208.15 / $273.33 / $643.90	Professional		$208.15	$273.33	$643.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.17 / $70.14 / $119.86	Professional	26	$50.17	$70.14	$119.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $149.40 / $210.15 / $550.33	Professional	TC	$149.40	$210.15	$550.33