Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.00 / $107.37 / $194.74	Facility	26	$98.00	$107.37	$194.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.68 / $375.74 / $669.68	Professional		$306.68	$375.74	$669.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.54 / $89.95 / $194.74	Professional	26	$79.54	$89.95	$194.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $227.00 / $286.63 / $474.93	Professional	TC	$227.00	$286.63	$474.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.91 / $261.66 / $601.82	Professional		$211.91	$261.66	$601.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.43 / $79.54 / $198.85	Professional	26	$63.43	$79.54	$198.85
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $145.69 / $145.69 / $171.05	Professional	TC	$145.69	$145.69	$171.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.00 / $503.00 / $503.00	Professional		$503.00	$503.00	$503.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.22 / $480.68 / $654.48	Professional		$255.22	$480.68	$654.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.17 / $143.80 / $179.75	Professional	26	$73.17	$143.80	$179.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $182.05 / $337.04 / $482.66	Professional	TC	$182.05	$337.04	$482.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $235.49	Professional		$32.34	$32.34	$235.49
United Facility/Professional Professional Modifier Low / Median / High Price $270.05 / $356.45 / $631.54	Professional		$270.05	$356.45	$631.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.00 / $105.62 / $176.76	Professional	26	$75.00	$105.62	$176.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.16 / $248.80 / $453.95	Professional	TC	$190.16	$248.80	$453.95