Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $151.36 / $245.47	Facility	26	$125.89	$151.36	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $467.74	Professional		$223.87	$295.12	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $162.18 / $263.03	Professional	26	$125.89	$162.18	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $141.25 / $208.93	Professional	TC	$97.72	$141.25	$208.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $154.88 / $354.81	Professional	26	$117.49	$154.88	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $512.86	Professional		$239.88	$407.38	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $218.78 / $281.84	Professional	26	$128.82	$218.78	$281.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $177.83 / $229.09	Professional	TC	$109.65	$177.83	$229.09
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 $229.09 / $309.03 / $549.54	Professional		$229.09	$309.03	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $169.82 / $309.03	Professional	26	$128.82	$169.82	$309.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $138.04 / $245.47	Professional	TC	$102.33	$138.04	$245.47