Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.00 / $174.40 / $412.50	Facility	26	$98.00	$174.40	$412.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $275.00 / $401.58	Professional		$193.50	$275.00	$401.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.45 / $84.92 / $185.65	Professional	26	$75.45	$84.92	$185.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $107.42 / $157.19 / $227.00	Professional	TC	$107.42	$157.19	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $162.11 / $372.85	Professional		$130.84	$162.11	$372.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.51 / $75.63 / $189.08	Professional	26	$60.51	$75.63	$189.08
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $69.19 / $73.51 / $81.23	Professional	TC	$69.19	$73.51	$81.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.00 / $338.00 / $338.00	Professional		$338.00	$338.00	$338.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $321.12 / $419.33	Professional		$155.38	$321.12	$419.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.97 / $138.25 / $171.30	Professional	26	$69.97	$138.25	$171.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.42 / $178.58 / $244.84	Professional	TC	$85.42	$178.58	$244.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $145.90	Professional		$32.34	$32.34	$145.90
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $221.38 / $389.84	Professional		$173.03	$221.38	$389.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.31 / $99.08 / $169.37	Professional	26	$71.31	$99.08	$169.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.36 / $118.75 / $231.49	Professional	TC	$97.36	$118.75	$231.49