Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.00 / $221.00 / $252.28	Facility	26	$98.00	$221.00	$252.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.44 / $461.44 / $606.73	Professional		$320.44	$461.44	$606.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.37 / $133.24 / $252.28	Professional	26	$104.37	$133.24	$252.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.20 / $332.97 / $385.70	Professional	TC	$187.20	$332.97	$385.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $326.60 / $585.83 / $585.83	Professional		$326.60	$585.83	$585.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $82.72 / $106.99 / $257.95	Professional	26	$82.72	$106.99	$257.95
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $282.92 / $282.92 / $282.92	Professional	TC	$282.92	$282.92	$282.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.00 / $620.00 / $620.00	Professional		$620.00	$620.00	$620.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.88 / $654.44 / $973.97	Professional		$344.88	$654.44	$973.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.23 / $188.65 / $234.09	Professional	26	$95.23	$188.65	$234.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $247.77 / $474.32 / $785.33	Professional	TC	$247.77	$474.32	$785.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $320.20	Professional		$32.34	$32.34	$320.20
United Facility/Professional Professional Modifier Low / Median / High Price $378.91 / $483.10 / $1,035.71	Professional		$378.91	$483.10	$1,035.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.44 / $132.99 / $229.18	Professional	26	$97.44	$132.99	$229.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $282.00 / $345.17 / $772.42	Professional	TC	$282.00	$345.17	$772.42