Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.29 / $63.02 / $138.38	Facility	26	$56.29	$63.02	$138.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $194.27 / $251.21	Professional		$114.40	$194.27	$251.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.65 / $63.02 / $138.38	Professional	26	$49.65	$63.02	$138.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.38 / $112.83 / $180.05	Professional	TC	$51.38	$112.83	$180.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.93 / $87.93 / $87.93	Professional		$87.93	$87.93	$87.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.92 / $68.81 / $153.60	Professional	26	$55.92	$68.81	$153.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.00 / $485.00 / $485.00	Professional		$485.00	$485.00	$485.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $215.26 / $547.74	Professional		$103.90	$215.26	$547.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.60 / $89.64 / $110.35	Professional	26	$52.60	$89.64	$110.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.21 / $121.01 / $458.10	Professional	TC	$48.21	$121.01	$458.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $98.93	Professional		$32.34	$32.34	$98.93
United Facility/Professional Professional Modifier Low / Median / High Price $125.25 / $169.00 / $612.17	Professional		$125.25	$169.00	$612.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.70 / $73.14 / $121.28	Professional	26	$47.70	$73.14	$121.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.51 / $97.18 / $446.59	Professional	TC	$59.51	$97.18	$446.59