Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.14 / $109.08 / $162.06	Facility	26	$101.14	$109.08	$162.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.01 / $475.00 / $551.91	Professional		$346.01	$475.00	$551.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.14 / $140.00 / $162.06	Professional	26	$101.14	$140.00	$162.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $262.39 / $335.00 / $389.86	Professional	TC	$262.39	$335.00	$389.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.87 / $192.82 / $443.49	Professional		$159.87	$192.82	$443.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.64 / $58.66 / $146.65	Professional	26	$46.64	$58.66	$146.65
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $289.23 / $289.23 / $289.23	Professional	50	$289.23	$289.23	$289.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $112.73 / $112.73 / $112.73	Professional	TC	$112.73	$112.73	$112.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $543.60 / $543.60 / $543.60	Professional		$543.60	$543.60	$543.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.21 / $513.94 / $853.62	Professional		$188.21	$513.94	$853.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.20 / $104.68 / $133.19	Professional	26	$54.20	$104.68	$133.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.00 / $395.34 / $724.34	Professional	TC	$134.00	$395.34	$724.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $173.54	Professional		$32.34	$32.34	$173.54
United Facility/Professional Professional Modifier Low / Median / High Price $230.02 / $352.22 / $773.80	Professional		$230.02	$352.22	$773.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.14 / $76.98 / $135.47	Professional	26	$55.14	$76.98	$135.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.45 / $269.81 / $769.35	Professional	TC	$173.45	$269.81	$769.35