Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $162.18 / $416.87	Facility	26	$97.72	$162.18	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $549.54	Professional		$186.21	$275.42	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $85.11 / $204.17	Professional	26	$75.86	$85.11	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $154.88 / $239.88	Professional	TC	$93.33	$154.88	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $371.54	Professional		$109.65	$144.54	$371.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $77.62 / $151.36	Professional	26	$61.66	$77.62	$151.36
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $89.13 / $151.36	Professional	TC	$69.18	$89.13	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $426.58	Professional		$154.88	$288.40	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $128.82 / $173.78	Professional	26	$61.66	$128.82	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $162.18 / $251.19	Professional	TC	$85.11	$162.18	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $77.62	Professional		$32.36	$33.11	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $398.11	Professional		$162.18	$218.78	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $97.72 / $177.83	Professional	26	$67.61	$97.72	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $120.23 / $229.09	Professional	TC	$91.20	$120.23	$229.09