Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.79 / $132.36 / $196.65	Facility	26	$122.79	$132.36	$196.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $523.77 / $778.18	Professional		$475.00	$523.77	$778.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $122.79 / $140.00 / $196.65	Professional	26	$122.79	$140.00	$196.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $391.41 / $581.53	Professional	TC	$335.00	$391.41	$581.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $228.80 / $269.30 / $269.30	Professional		$228.80	$269.30	$269.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.54 / $70.68 / $137.96	Professional	26	$56.54	$70.68	$137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.02 / $655.02 / $655.02	Professional		$655.02	$655.02	$655.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.73 / $581.74 / $915.44	Professional		$263.73	$581.74	$915.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.41 / $126.20 / $160.33	Professional	26	$65.41	$126.20	$160.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $198.32 / $462.13 / $773.91	Professional	TC	$198.32	$462.13	$773.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $242.37	Professional		$32.34	$32.34	$242.37
United Facility/Professional Professional Modifier Low / Median / High Price $325.58 / $420.45 / $924.08	Professional		$325.58	$420.45	$924.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.83 / $94.61 / $168.29	Professional	26	$64.83	$94.61	$168.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $246.59 / $325.83 / $825.41	Professional	TC	$246.59	$325.83	$825.41