Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.00 / $105.87 / $200.47	Facility	26	$98.00	$105.87	$200.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.00 / $438.26 / $554.78	Professional		$293.00	$438.26	$554.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.39 / $105.87 / $200.47	Professional	26	$82.39	$105.87	$200.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.13 / $332.84 / $385.85	Professional	TC	$187.13	$332.84	$385.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.70 / $82.13 / $205.33	Professional	26	$65.70	$82.13	$205.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.00 / $574.00 / $574.00	Professional		$574.00	$574.00	$574.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.26 / $551.25 / $820.93	Professional		$271.26	$551.25	$820.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.73 / $148.81 / $185.84	Professional	26	$75.73	$148.81	$185.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $195.53 / $412.70 / $638.90	Professional	TC	$195.53	$412.70	$638.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $251.66	Professional		$32.34	$32.34	$251.66
United Facility/Professional Professional Modifier Low / Median / High Price $314.56 / $388.44 / $817.09	Professional		$314.56	$388.44	$817.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.44 / $105.60 / $181.92	Professional	26	$75.44	$105.60	$181.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $222.77 / $291.39 / $647.07	Professional	TC	$222.77	$291.39	$647.07