Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.00 / $130.65 / $213.97	Facility	26	$98.00	$130.65	$213.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $477.43 / $749.48	Professional		$325.00	$477.43	$749.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.86 / $99.45 / $213.97	Professional	26	$87.86	$99.45	$213.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $227.00 / $358.02 / $535.51	Professional	TC	$227.00	$358.02	$535.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $237.22 / $292.85 / $673.56	Professional		$237.22	$292.85	$673.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.87 / $94.33 / $218.35	Professional	26	$69.87	$94.33	$218.35
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $174.68 / $174.68 / $193.03	Professional	TC	$174.68	$174.68	$193.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $632.00 / $632.00 / $632.00	Professional		$632.00	$632.00	$632.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.20 / $558.78 / $791.70	Professional		$286.20	$558.78	$791.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.64 / $159.13 / $197.12	Professional	26	$80.64	$159.13	$197.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $205.57 / $397.67 / $592.40	Professional	TC	$205.57	$397.67	$592.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $263.57	Professional		$32.34	$32.34	$263.57
United Facility/Professional Professional Modifier Low / Median / High Price $317.50 / $400.55 / $761.18	Professional		$317.50	$400.55	$761.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.53 / $115.81 / $194.18	Professional	26	$82.53	$115.81	$194.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $231.77 / $283.68 / $583.60	Professional	TC	$231.77	$283.68	$583.60