Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.94 / $98.00 / $157.05	Facility	26	$82.94	$98.00	$157.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.37 / $179.34 / $303.64	Professional		$160.37	$179.34	$303.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.54 / $82.94 / $147.53	Professional	26	$52.54	$82.94	$147.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.42 / $121.53 / $146.60	Professional	TC	$77.42	$121.53	$146.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.99 / $64.73 / $159.35	Professional	26	$50.99	$64.73	$159.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.32 / $258.32 / $258.32	Professional		$258.32	$258.32	$258.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.55 / $189.28 / $347.28	Professional		$115.55	$189.28	$347.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.75 / $89.48 / $128.25	Professional	26	$55.75	$89.48	$128.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.80 / $93.74 / $251.44	Professional	TC	$56.80	$93.74	$251.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $57.79	Professional		$32.34	$32.34	$57.79
United Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $168.32 / $459.12	Professional		$113.82	$168.32	$459.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.21 / $76.54 / $130.34	Professional	26	$45.21	$76.54	$130.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.61 / $82.38 / $352.72	Professional	TC	$66.61	$82.38	$352.72