Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $50.12 / $67.61	Facility	26	$39.81	$50.12	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $223.87 / $676.08	Professional		$114.82	$223.87	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $70.79 / $208.93	Professional	26	$39.81	$70.79	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $95.50 / $190.55	Professional	TC	$70.79	$95.50	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $218.78	Professional		$93.33	$123.03	$218.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $47.86 / $85.11	Professional	26	$36.31	$47.86	$85.11
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $69.18 / $91.20	Professional	TC	$48.98	$69.18	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $245.47	Professional		$131.83	$165.96	$245.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $69.18 / $107.15	Professional	26	$47.86	$69.18	$107.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $91.20 / $134.90	Professional	TC	$81.28	$91.20	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $288.40	Professional		$123.03	$173.78	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $64.57 / $97.72	Professional	26	$44.67	$64.57	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $107.15 / $181.97	Professional	TC	$77.62	$107.15	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $251.19	Professional		$117.49	$141.25	$251.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $51.29 / $91.20	Professional	26	$40.74	$51.29	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $91.20 / $162.18	Professional	TC	$75.86	$91.20	$162.18