Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $123.03 / $123.03	Facility	26	$67.61	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $524.81	Professional		$199.53	$275.42	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $69.18 / $144.54	Professional	26	$54.95	$69.18	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $199.53 / $398.11	Professional	TC	$141.25	$199.53	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $53.70 / $131.83	Professional	26	$42.66	$53.70	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $407.38 / $660.69	Professional		$165.96	$407.38	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $93.33 / $123.03	Professional	26	$43.65	$93.33	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $295.12 / $549.54	Professional	TC	$114.82	$295.12	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $46.77	Professional		$32.36	$33.11	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $645.65	Professional		$204.17	$275.42	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $67.61 / $117.49	Professional	26	$47.86	$67.61	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $208.93 / $512.86	Professional	TC	$147.91	$208.93	$512.86