Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.95 / $98.00 / $136.24	Facility	26	$71.95	$98.00	$136.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.22 / $363.34 / $490.83	Professional		$259.22	$363.34	$490.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $98.00 / $136.24	Professional	26	$54.86	$98.00	$136.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.27 / $281.72 / $354.59	Professional	TC	$187.27	$281.72	$354.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.06 / $199.33 / $458.46	Professional		$139.06	$199.33	$458.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.20 / $65.73 / $138.13	Professional	26	$44.20	$65.73	$138.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.59 / $381.59 / $381.59	Professional		$381.59	$381.59	$381.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.74 / $387.38 / $576.05	Professional		$195.74	$387.38	$576.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.27 / $99.60 / $125.14	Professional	26	$51.27	$99.60	$125.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.47 / $276.79 / $454.13	Professional	TC	$144.47	$276.79	$454.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $179.40	Professional		$32.34	$32.34	$179.40
United Facility/Professional Professional Modifier Low / Median / High Price $218.53 / $268.99 / $572.24	Professional		$218.53	$268.99	$572.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.52 / $73.23 / $123.58	Professional	26	$52.52	$73.23	$123.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $157.97 / $200.61 / $473.45	Professional	TC	$157.97	$200.61	$473.45