Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $117.49 / $173.78	Facility	26	$109.65	$117.49	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $416.87 / $676.08	Professional		$213.80	$416.87	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $125.89 / $204.17	Professional	26	$69.18	$125.89	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $263.03 / $436.52	Professional	TC	$131.83	$263.03	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $173.78	Professional		$114.82	$151.36	$173.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $64.57 / $154.88	Professional	26	$51.29	$64.57	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $398.11 / $776.25	Professional		$165.96	$398.11	$776.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $112.20 / $147.91	Professional	26	$52.48	$112.20	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $316.23 / $660.69	Professional	TC	$107.15	$316.23	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $323.59 / $831.76	Professional		$204.17	$323.59	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $81.28 / $147.91	Professional	26	$57.54	$81.28	$147.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $223.87 / $691.83	Professional	TC	$131.83	$223.87	$691.83