Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $239.88 / $239.88	Facility	26	$134.90	$239.88	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $478.63	Professional		$213.80	$275.42	$478.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $120.23 / $239.88	Professional	26	$54.95	$120.23	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $131.83 / $229.09	Professional	TC	$100.00	$131.83	$229.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $104.71 / $104.71	Professional	26	$104.71	$104.71	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $575.44 / $977.24	Professional		$309.03	$575.44	$977.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $162.18 / $229.09	Professional	26	$81.28	$162.18	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $426.58 / $741.31	Professional	TC	$223.87	$426.58	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $812.83	Professional		$338.84	$489.78	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $131.83 / $234.42	Professional	26	$93.33	$131.83	$234.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $363.08 / $575.44	Professional	TC	$245.47	$363.08	$575.44