Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $97.72 / $128.82	Facility	26	$70.79	$97.72	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $524.81	Professional		$234.42	$302.00	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $79.43 / $204.17	Professional	26	$57.54	$79.43	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $218.78 / $407.38	Professional	TC	$169.82	$218.78	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $467.74	Professional		$134.90	$181.97	$467.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $58.88 / $138.04	Professional	26	$44.67	$58.88	$138.04
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $123.03 / $123.03	Professional	TC	$123.03	$123.03	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $363.08 / $575.44	Professional		$190.55	$363.08	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $93.33 / $128.82	Professional	26	$45.71	$93.33	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $275.42 / $457.09	Professional	TC	$138.04	$275.42	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $128.82	Professional		$32.36	$33.11	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $575.44	Professional		$204.17	$275.42	$575.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $70.79 / $123.03	Professional	26	$52.48	$70.79	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $194.98 / $478.63	Professional	TC	$144.54	$194.98	$478.63