Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.62 / $123.31 / $157.27	Facility	26	$71.62	$123.31	$157.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.16 / $348.90 / $475.00	Professional		$198.16	$348.90	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.17 / $140.00 / $157.27	Professional	26	$65.17	$140.00	$157.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.03 / $229.37 / $335.00	Professional	TC	$131.03	$229.37	$335.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.62 / $173.62 / $173.62	Professional		$173.62	$173.62	$173.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.71 / $55.58 / $56.95	Professional	26	$41.71	$55.58	$56.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $782.00 / $782.00 / $782.00	Professional		$782.00	$782.00	$782.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.12 / $364.40 / $481.44	Professional		$185.12	$364.40	$481.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.27 / $125.64 / $157.56	Professional	26	$64.27	$125.64	$157.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.85 / $244.98 / $320.08	Professional	TC	$120.85	$244.98	$320.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $113.19	Professional		$32.34	$32.34	$113.19
United Facility/Professional Professional Modifier Low / Median / High Price $229.96 / $431.54 / $1,390.51	Professional		$229.96	$431.54	$1,390.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.40 / $90.11 / $155.85	Professional	26	$64.40	$90.11	$155.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.47 / $315.07 / $1,240.70	Professional	TC	$148.47	$315.07	$1,240.70