Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.16 / $81.78 / $137.88	Facility	26	$68.16	$81.78	$137.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.71 / $594.37 / $709.48	Professional		$350.71	$594.37	$709.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.73 / $81.78 / $142.38	Professional	26	$67.73	$81.78	$142.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $282.55 / $515.29 / $571.60	Professional	TC	$282.55	$515.29	$571.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $297.25 / $297.25 / $297.25	Professional		$297.25	$297.25	$297.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.52 / $84.73 / $189.13	Professional	26	$60.52	$84.73	$189.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $295.89 / $295.89 / $295.89	Professional	TC	$295.89	$295.89	$295.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.00 / $724.00 / $724.00	Professional		$724.00	$724.00	$724.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.31 / $664.70 / $970.45	Professional		$364.31	$664.70	$970.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.89 / $119.96 / $150.77	Professional	26	$69.89	$119.96	$150.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $294.42 / $547.57 / $819.67	Professional	TC	$294.42	$547.57	$819.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $385.50 / $530.53 / $877.61	Professional		$385.50	$530.53	$877.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.14 / $93.02 / $158.44	Professional	26	$68.14	$93.02	$158.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $331.28 / $437.69 / $809.25	Professional	TC	$331.28	$437.69	$809.25