Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.00 / $98.19 / $185.92	Facility	26	$98.00	$98.19	$185.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.07 / $325.00 / $494.32	Professional		$261.07	$325.00	$494.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $98.00 / $185.92	Professional	26	$73.00	$98.00	$185.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.88 / $228.30 / $308.39	Professional	TC	$162.88	$228.30	$308.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.29 / $223.29 / $223.29	Professional		$223.29	$223.29	$223.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.77 / $76.50 / $188.58	Professional	26	$61.77	$76.50	$188.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $285.00 / $285.00	Professional		$285.00	$285.00	$285.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.19 / $397.74 / $539.30	Professional		$192.19	$397.74	$539.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.84 / $136.57 / $171.09	Professional	26	$69.84	$136.57	$171.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $122.36 / $258.11 / $358.22	Professional	TC	$122.36	$258.11	$358.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $179.43	Professional		$32.34	$32.34	$179.43
United Facility/Professional Professional Modifier Low / Median / High Price $224.44 / $273.37 / $489.84	Professional		$224.44	$273.37	$489.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.30 / $97.66 / $168.24	Professional	26	$69.30	$97.66	$168.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $140.32 / $170.91 / $355.77	Professional	TC	$140.32	$170.91	$355.77