Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.51 / $98.00 / $127.83	Facility	26	$67.51	$98.00	$127.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.44 / $274.81 / $325.00	Professional		$158.44	$274.81	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.28 / $94.63 / $127.83	Professional	26	$51.28	$94.63	$127.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.93 / $172.62 / $227.00	Professional	TC	$90.93	$172.62	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.44 / $108.44 / $108.44	Professional		$108.44	$108.44	$108.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.27 / $51.58 / $128.94	Professional	26	$41.27	$51.58	$128.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.92 / $293.92 / $293.92	Professional		$293.92	$293.92	$293.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.71 / $245.61 / $425.33	Professional		$115.71	$245.61	$425.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.90 / $92.93 / $117.35	Professional	26	$47.90	$92.93	$117.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.81 / $141.88 / $325.17	Professional	TC	$67.81	$141.88	$325.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $107.91	Professional		$32.34	$32.34	$107.91
United Facility/Professional Professional Modifier Low / Median / High Price $135.09 / $182.03 / $428.43	Professional		$135.09	$182.03	$428.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.79 / $68.34 / $115.34	Professional	26	$48.79	$68.34	$115.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.42 / $108.71 / $319.52	Professional	TC	$77.42	$108.71	$319.52