Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.04 / $118.19 / $175.59	Facility	26	$109.04	$118.19	$175.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.45 / $475.00 / $522.50	Professional		$325.45	$475.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.05 / $140.00 / $175.59	Professional	26	$109.05	$140.00	$175.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.45 / $309.70 / $335.00	Professional	TC	$208.45	$309.70	$335.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.40 / $170.72 / $170.72	Professional		$133.40	$170.72	$170.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.82 / $63.30 / $158.25	Professional	26	$50.82	$63.30	$158.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.64 / $529.64 / $529.64	Professional		$529.64	$529.64	$529.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.63 / $485.66 / $778.76	Professional		$165.63	$485.66	$778.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.73 / $113.90 / $143.82	Professional	26	$58.73	$113.90	$143.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $106.89 / $316.30 / $656.66	Professional	TC	$106.89	$316.30	$656.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $153.65	Professional		$32.34	$32.34	$153.65
United Facility/Professional Professional Modifier Low / Median / High Price $205.93 / $321.33 / $795.80	Professional		$205.93	$321.33	$795.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.78 / $82.83 / $150.13	Professional	26	$57.78	$82.83	$150.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $133.75 / $225.34 / $689.73	Professional	TC	$133.75	$225.34	$689.73