Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $524.81	Professional		$186.21	$239.88	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $89.13 / $194.98	Professional	26	$64.57	$89.13	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $158.49 / $338.84	Professional	TC	$123.03	$158.49	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $69.18 / $69.18	Professional	26	$69.18	$69.18	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $380.19 / $645.65	Professional		$213.80	$380.19	$645.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $79.43 / $107.15	Professional	26	$70.79	$79.43	$107.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $309.03 / $524.81	Professional	TC	$138.04	$309.03	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $501.19	Professional		$245.47	$309.03	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $95.50 / $158.49	Professional	26	$75.86	$95.50	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $199.53 / $331.13	Professional	TC	$162.18	$199.53	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $501.19 / $1,412.54	Professional		$239.88	$501.19	$1,412.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $91.20 / $158.49	Professional	26	$70.79	$91.20	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $363.08 / $1,258.93	Professional	TC	$162.18	$363.08	$1,258.93