Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.15 / $140.78 / $149.86	Facility	26	$79.15	$140.78	$149.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.35 / $421.87 / $504.31	Professional		$266.35	$421.87	$504.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.39 / $98.00 / $149.86	Professional	26	$60.39	$98.00	$149.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.20 / $332.97 / $399.07	Professional	TC	$187.20	$332.97	$399.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.56 / $223.93 / $487.78	Professional		$181.56	$223.93	$487.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.44 / $61.44 / $151.40	Professional	26	$48.44	$61.44	$151.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.90 / $449.90 / $449.90	Professional		$449.90	$449.90	$449.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.04 / $438.93 / $760.59	Professional		$220.04	$438.93	$760.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.24 / $108.92 / $138.15	Professional	26	$56.24	$108.92	$138.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $163.80 / $317.41 / $625.97	Professional	TC	$163.80	$317.41	$625.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $201.54	Professional		$32.34	$32.34	$201.54
United Facility/Professional Professional Modifier Low / Median / High Price $248.57 / $313.83 / $743.74	Professional		$248.57	$313.83	$743.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.55 / $79.00 / $135.56	Professional	26	$55.55	$79.00	$135.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $180.79 / $238.97 / $575.45	Professional	TC	$180.79	$238.97	$575.45