Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.96 / $49.36 / $108.38	Facility	26	$44.96	$49.36	$108.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.18 / $256.89 / $407.28	Professional		$184.18	$256.89	$407.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.97 / $53.41 / $108.38	Professional	26	$44.97	$53.41	$108.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $136.12 / $203.49 / $298.89	Professional	TC	$136.12	$203.49	$298.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $135.28 / $158.22	Professional		$135.28	$135.28	$158.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.70 / $47.85 / $119.63	Professional	26	$46.70	$47.85	$119.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.00 / $287.00 / $287.00	Professional		$287.00	$287.00	$287.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.01 / $348.55 / $496.87	Professional		$169.01	$348.55	$496.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.40 / $87.05 / $109.22	Professional	26	$44.40	$87.05	$109.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $124.61 / $252.63 / $329.82	Professional	TC	$124.61	$252.63	$329.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $155.12	Professional		$32.34	$32.34	$155.12
United Facility/Professional Professional Modifier Low / Median / High Price $170.92 / $252.16 / $461.41	Professional		$170.92	$252.16	$461.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.67 / $62.87 / $119.01	Professional	26	$43.67	$62.87	$119.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $132.97 / $186.49 / $341.53	Professional	TC	$132.97	$186.49	$341.53